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Washington rates for HCPCS 86051

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

Facilitymedian $19 · 10th–90th $11$630%10%10th90th$19Professionalmedian $10 · 10th–90th $7$160%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
$11.48 / $24.55 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.00 / $16.98
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $16.98 / $22.91
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $10.47 / $11.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $23.44 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $12.02 / $16.60
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $12.59
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $18.62 / $31.62
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $13.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $17.38 / $30.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $10.47 / $11.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $13.80 / $13.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $12.59
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $6.03 / $20.89