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New Mexico 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
$8.65 / $17.30 / $34.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.65 / $13.84 / $13.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.29 / $62.22 / $103.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $9.43 / $10.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.49 / $7.49 / $7.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.87 / $13.22 / $16.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.34 / $11.53 / $11.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.00 / $10.95 / $13.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.87 / $9.44 / $11.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $4.84 / $6.92