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Maine 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
$11.53 / $11.53 / $51.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.34 / $9.34 / $11.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.16 / $16.95 / $82.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $4.61 / $9.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.78 / $13.22 / $16.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $11.53 / $13.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.53 / $11.53 / $51.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.34 / $9.34 / $11.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.88 / $6.92 / $16.72