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Texas rates for HCPCS 86258

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.76 / $35.90 / $201.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.61 / $19.34 / $24.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.79 / $7.23 / $7.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $36.78 / $66.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $6.39 / $9.64
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.05 / $18.07 / $42.70
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $10.85 / $16.87
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.81 / $11.81 / $11.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.43 / $16.85 / $54.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $6.82 / $22.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.93 / $60.00 / $60.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.74 / $12.05 / $19.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.76 / $12.05 / $13.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.24 / $12.05 / $21.81
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.64 / $93.93 / $210.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $12.05 / $16.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.11 / $10.95 / $12.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $4.84 / $11.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $4.61 / $12.05