| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.18 | $13.18 | $13.18 | |
Aetna
| Professional | $8.51 | $8.91 | $34.67 | |
Cigna
| Professional | $13.18 | $13.18 | $16.60 | |
United
| Professional | $4.07 | $6.92 | $17.38 |
Aquaporin-4 (neuromyelitis optica [NMO]) antibody; enzyme-linked immunosorbent immunoassay (ELISA)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.18 | $13.18 | $13.18 | |
Aetna
| Professional | $8.51 | $8.91 | $34.67 | |
Cigna
| Professional | $13.18 | $13.18 | $16.60 | |
United
| Professional | $4.07 | $6.92 | $17.38 |