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Wisconsin rates for HCPCS 86051

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

Facilitymedian $30 · 10th–90th $9$690%10%10th90th$30Professionalmedian $10 · 10th–90th $5$350%10%10th90th$10$5.0$20.0$100.0$500.0$2.0K

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
$12.88 / $31.62 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $12.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $30.90 / $31.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $40.74
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $11.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $37.15 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $17.38 / $36.31
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $39.81 / $67.61
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $9.33 / $60.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.92 / $20.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $17.78 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $13.80 / $33.11
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $11.48 / $22.91
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $27.54 / $38.90
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $60.26
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $6.17
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $24.55
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $69.18 / $79.43
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $33.88 / $63.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $9.12 / $13.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.92 / $20.42