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Missouri rates for HCPCS 86258

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

Facilitymedian $42 · 10th–90th $12–$1170%5%10%10th90th$42Professionalmedian $10 · 10th–90th $5–$230%10%20%10th90th$10$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $41.69 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.96 / $30.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $42.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $8.91 / $21.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $16.98 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $23.44 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.89 / $14.45
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $20.89 / $60.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.92 / $12.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $12.02 / $14.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.92 / $13.49