go back

Minnesota rates for HCPCS 86258

Gliadin Antibody Each Immunoglobulin Class

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.33 / $70.22 / $302.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.47 / $19.80 / $29.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.69 / $12.05 / $12.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.64 / $12.05 / $12.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.52 / $44.19 / $106.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.77 / $17.30 / $23.26
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.54 / $40.40 / $83.71
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.63 / $13.63 / $21.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $28.92 / $111.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $11.53 / $30.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $11.53 / $24.46