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Pennsylvania 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
$9.34 / $38.72 / $50.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.11 / $9.91 / $20.62
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.82 / $51.71 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.99 / $8.99 / $8.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.58 / $14.71 / $34.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.40 / $5.40 / $14.57
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.30 / $6.80 / $15.61
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $20.02 / $590.79
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $8.07 / $8.07
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.34 / $32.69 / $49.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $9.90 / $47.62
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.02 / $14.11 / $38.03
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.40 / $13.01 / $16.52
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.53 / $11.53 / $12.68
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.15 / $11.53 / $12.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $6.92 / $17.87