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Illinois 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
$11.10 / $19.70 / $166.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.58 / $9.92 / $20.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.21 / $48.48 / $168.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $7.96 / $8.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.06 / $27.56 / $53.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.31 / $13.22 / $16.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.11 / $20.18 / $812.05
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.99 / $14.99 / $14.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $7.91 / $14.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $6.92 / $12.60