go back

Hawaii 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
$9.94 / $11.27 / $14.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.46 / $14.46 / $14.46
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.51 / $23.50 / $28.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $14.46 / $18.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $14.46 / $18.07
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.24 / $16.27 / $27.11