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New York rates for HCPCS 86258

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.25 / $22.77 / $75.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $19.80 / $24.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.26 / $5.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.05 / $12.05 / $31.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $6.24 / $21.08
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $11.53 / $11.53
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $11.53 / $11.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.11 / $14.55 / $29.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $17.04 / $58.08
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.25 / $16.87 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.82 / $7.11 / $22.53
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.98 / $6.98 / $6.98
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $10.15 / $13.16
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.69 / $25.00 / $39.79
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.06 / $21.54 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.49 / $11.01 / $23.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $6.63 / $17.30
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.86 / $13.86 / $16.30
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $11.45 / $14.48