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Utah rates for HCPCS 86258

Gliadin Antibody Each Immunoglobulin Class

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.38 / $71.09 / $105.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.65 / $19.34 / $20.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $10.59 / $33.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.63 / $13.63 / $17.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.96 / $8.96 / $8.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.53 / $13.86 / $46.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.23 / $9.76 / $13.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $4.84 / $7.23