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Illinois rates for HCPCS 86052

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

Facilitymedian $21 · 10th–90th $12–$1350%5%10%10th90th$21Professionalmedian $9 · 10th–90th $3–$150%20%10th90th$9$5.0$20.0$100.0$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
$12.02 / $20.89 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.00 / $15.14
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.41
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $19.50 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $8.32 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $25.70 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $6.31 / $17.38
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $30.90 / $870.96
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $12.02 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.24 / $10.23