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Washington 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
$10.84 / $19.26 / $63.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.11 / $10.31 / $20.65
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.11 / $20.75 / $60.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $10.59 / $19.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.13 / $18.57 / $29.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.83 / $13.22 / $16.52
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.53 / $12.68 / $17.30
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.53 / $17.29 / $31.71
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.80 / $12.11 / $16.37
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $18.92 / $31.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.65 / $11.53 / $31.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $4.84 / $11.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $5.19 / $5.97