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Missouri 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
$13.80 / $19.95 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $8.91 / $14.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.48 / $40.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $8.51 / $21.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $16.98 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $21.88 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $10.96 / $13.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $19.95 / $60.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $6.92 / $12.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $11.48 / $13.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $6.92 / $13.49