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New Jersey rates for HCPCS 86258

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.42 / $37.17 / $96.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $19.80 / $20.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.23 / $7.23 / $7.53
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.16 / $39.15 / $1,219.20
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.65 / $57.33 / $61.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.06 / $15.25 / $36.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.11 / $12.65 / $17.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.82 / $6.63 / $7.23
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.44 / $8.44 / $8,702.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.22 / $9.22 / $10.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.67 / $6.92 / $12.45