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Texas 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
$8.07 / $16.14 / $56.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.67 / $20.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.53 / $5.53 / $5.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.68 / $36.20 / $65.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $6.11 / $11.41
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.07 / $10.38 / $18.45
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.30 / $11.30 / $11.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.43 / $16.85 / $51.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.67 / $6.46 / $22.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.93 / $60.00 / $60.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.65 / $11.53 / $12.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.38 / $11.53 / $59.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.05 / $11.53 / $16.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.87 / $10.95 / $12.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $4.84 / $7.49
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $4.61 / $11.53