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Oregon rates for HCPCS 86258

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $51.29 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $18.62 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $19.50 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $13.49 / $21.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $25.70 / $30.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $25.12 / $97.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $13.80 / $19.95
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.59 / $18.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $16.60 / $35.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $13.18 / $16.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $36.31 / $47.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $10.96 / $14.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $13.80