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Oklahoma 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 / $11.53 / $27.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $10.13 / $20.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.74 / $27.85 / $40.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $10.95 / $11.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.13 / $7.49 / $14.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $13.22 / $16.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.65 / $10.05 / $60.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $4.84 / $12.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $4.84 / $6.92