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South Dakota rates for HCPCS 86258

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

Facilitymedian $71 · 10th–90th $32$2340%10%10th90th$71Professionalmedian $20 · 10th–90th $10$890%20%10th90th$20$5.0$10.0$20.0$50.0$100.0$200.0

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
$31.62 / $70.79 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $19.95 / $89.13
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $15.14 / $21.88
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $20.89 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $22.91 / $28.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $60.26 / $158.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $14.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $28.18 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.24 / $15.85
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02