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Montana rates for HCPCS 86051

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.13 / $10.13 / $13.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.45 / $40.17 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $15.45 / $15.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.72 / $16.72 / $16.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.22 / $16.52 / $16.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.72 / $16.72 / $16.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.38 / $11.53 / $16.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $4.84 / $11.53