go back

Wisconsin rates for HCPCS 86258

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

Facilitymedian $72 · 10th–90th $11$2750%10%20%10th90th$72Professionalmedian $20 · 10th–90th $8$380%20%10th90th$20$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
$10.96 / $104.71 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $19.95 / $30.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $32.36 / $33.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $40.74
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $12.59
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $38.90 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $17.78 / $38.02
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $39.81 / $67.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $14.45 / $125.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.24 / $20.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $17.78 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $14.45 / $34.67
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $12.02 / $23.99
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $28.18 / $39.81
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $60.26
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $6.17
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $24.55
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $69.18 / $79.43
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $66.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $9.12 / $14.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.24 / $20.42