go back

Nebraska 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
$7.61 / $11.53 / $208.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.61 / $7.61 / $10.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $39.40 / $76.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $17.53 / $18.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.22 / $20.89 / $26.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $13.70 / $60.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $23.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.84 / $20.18 / $69.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.85 / $19.34 / $25.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.57 / $6.92 / $23.06