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South Dakota rates for HCPCS 86051

Aquaporin-4 (neuromyelitis optica [NMO]) antibody; enzyme-linked immunosorbent immunoassay (ELISA)

Facilitymedian $10 · 10th–90th $10–$130%50%90th$10Professionalmedian $10 · 10th–90th $7–$280%20%10th90th$10$5.0$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $13.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $10.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $21.88 / $27.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $13.18 / $60.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $13.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $26.92 / $31.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.92 / $15.14
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $11.48