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Nebraska rates for HCPCS 86258

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.36 / $92.90 / $347.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $19.80 / $21.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $39.40 / $76.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $18.32 / $19.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.63 / $21.54 / $26.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.95 / $37.88 / $145.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $23.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $21.92 / $72.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.48 / $21.92 / $25.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.57 / $6.92 / $23.06