go back

Hawaii 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
$9.55 / $11.48 / $13.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.94 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $25.70 / $28.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $13.80 / $17.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $11.48 / $17.38
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $15.49 / $25.70