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Oregon 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
$14.45 / $21.38 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.00 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $18.62 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $13.18 / $20.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $25.12 / $30.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.48 / $15.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $13.18 / $15.49
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $12.02 / $17.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $15.85 / $33.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.59 / $16.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $34.67 / $47.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $10.47 / $13.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $18.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $13.80