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New Mexico rates for HCPCS 86258

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

Facilitymedian $22 · 10th–90th $14–$630%10%20%10th90th$22Professionalmedian $20 · 10th–90th $8–$200%20%40%10th90th$20$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$14.45 / $21.38 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $19.95 / $20.42
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $64.57 / $104.71
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $9.77 / $11.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $13.49 / $16.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $12.02 / $12.02
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $11.48 / $13.80
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $11.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $10.47 / $18.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $7.24