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Alaska rates for HCPCS 86051

Aquaporin-4 (neuromyelitis optica [NMO]) antibody; enzyme-linked immunosorbent immunoassay (ELISA)

Facilitymedian $10 · 10th–90th $10–$8510%50%90th$10Professionalmedian $10 · 10th–90th $9–$370%20%40%10th90th$10$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
$83.18 / $851.14 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $16.60
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $54.95
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $18.20 / $45.71
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $45.71
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $25.70 / $25.70
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $11.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $11.48 / $34.67