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Arizona rates for HCPCS 86051

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.51 / $17.00 / $46.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.73 / $9.90 / $20.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.86 / $19.10 / $31.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $9.71 / $13.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.58 / $17.98 / $32.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $14.04 / $17.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.50 / $10.05 / $60.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $4.84 / $9.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $4.84 / $7.41