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Washington rates for HCPCS 86258

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

Facilitymedian $39 · 10th–90th $11$1200%5%10%10th90th$39Professionalmedian $17 · 10th–90th $8$200%20%40%10th90th$17$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$11.48 / $44.67 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $19.95 / $20.42
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.59 / $7.59
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $17.38 / $23.99
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $10.72 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $24.55 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $12.88 / $16.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $10.72 / $12.88
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $13.18
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $19.50 / $33.11
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $14.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $17.78 / $31.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $10.72 / $12.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $14.45 / $14.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $12.59
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $6.31 / $21.88