go back

New Hampshire rates for HCPCS 86258

Gliadin Antibody Each Immunoglobulin Class

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $79.84 / $152.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.07 / $9.34 / $9.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.97 / $23.33 / $54.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $7.83 / $9.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.75 / $44.29 / $52.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.32 / $6.46 / $17.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.35 / $21.42 / $42.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $6.92 / $6.92
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $11.93 / $3,375.00