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Indiana 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
$11.48 / $21.88 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $8.91 / $10.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $6.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.48 / $34.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $11.48 / $17.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.48 / $14.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $7.41 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $15.14 / $21.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $11.48 / $11.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $6.92 / $11.48