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Arizona rates for HCPCS 86052

Aquaporin-4 (neuromyelitis optica [NMO]) antibody; cell-based immunofluorescence assay (CBA), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.98 / $18.44 / $209.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.07 / $10.34 / $10.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.53 / $7.53 / $7.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.08 / $19.98 / $33.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $10.15 / $14.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.92 / $18.79 / $33.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $14.87 / $18.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.88 / $10.50 / $60.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.05 / $7.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.85 / $10.85 / $14.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.05 / $7.23