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Arizona rates for HCPCS 86052

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

Facilitymedian $19 · 10th–90th $8–$620%5%10%10th90th$19Professionalmedian $9 · 10th–90th $7–$140%20%10th90th$9$0.2$1.0$5.0$20.0$100.0

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
$10.96 / $38.90 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $14.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $22.91 / $41.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $10.23 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $11.75 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $14.79 / $18.62
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $10.47 / $60.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $7.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $12.02 / $14.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $12.02