go back

Vermont rates for HCPCS 86258

Gliadin Antibody Each Immunoglobulin Class

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.73 / $221.73 / $221.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.30 / $14.30 / $14.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.00 / $152.37 / $225.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $11.53 / $11.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.16 / $20.16 / $237.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.63 / $15.45 / $17.04
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.16 / $20.16 / $237.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.49 / $13.63 / $17.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $16.14