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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
$9.44 / $42.53 / $444.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.11 / $9.80 / $20.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.11 / $11.53 / $34.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $11.53 / $15.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.53 / $13.96 / $15.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $13.26 / $16.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.49 / $22.01 / $44.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.22 / $15.22 / $16.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $6.92 / $11.53