go back

Missouri rates for HCPCS 86258

Gliadin (deamidated) (DGP) antibody, each immunoglobulin (Ig) class

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.05 / $43.58 / $126.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.91 / $19.80 / $20.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.05 / $12.65 / $55.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $8.84 / $22.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.59 / $25.27 / $28.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.29 / $5.86 / $17.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.05 / $19.82 / $60.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $6.92 / $12.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $6.92 / $13.04