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Vermont rates for HCPCS 86258

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

Facilitymedian $214 · 10th–90th $12–$2400%20%40%10th90th$214Professionalmedian $14 · 10th–90th $7–$160%50%10th90th$14$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $223.87 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $151.36 / $213.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $11.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $239.88 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $15.49 / $16.98
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $11.48 / $17.78