go back

Missouri rates for HCPCS 86051

Aquaporin-4 (neuromyelitis optica [NMO]) antibody; enzyme-linked immunosorbent immunoassay (ELISA)

Facilitymedian $19 · 10th–90th $11$1860%10%10th90th$19Professionalmedian $9 · 10th–90th $5$150%10%20%10th90th$9$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $19.95 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $12.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $40.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $8.51 / $21.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $16.98 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $22.39 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.50 / $13.49
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $19.95 / $60.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.92 / $12.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $11.48 / $13.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.92 / $13.49