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Idaho 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
$20.81 / $23.60 / $630.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.07 / $22.48 / $22.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.99 / $12.21 / $44.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.94 / $13.22 / $16.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.84 / $22.48 / $23.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $12.11 / $13.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.30 / $24.79 / $41.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.80 / $19.79 / $20.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $4.84 / $13.84