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Minnesota 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
$10.84 / $10.84 / $10.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.07 / $10.13 / $20.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.18 / $11.53 / $11.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.22 / $11.53 / $11.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.14 / $41.81 / $100.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.35 / $16.78 / $22.00
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.21 / $38.22 / $79.19
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.22 / $13.22 / $20.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.53 / $20.18 / $60.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $7.34 / $24.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $10.38 / $24.56