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Indiana 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
$9.88 / $34.40 / $44.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $10.11 / $11.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.52 / $12.05 / $36.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.82 / $12.05 / $15.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.05 / $14.46 / $16.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $13.86 / $17.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.83 / $22.62 / $47.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.63 / $15.91 / $17.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $7.23 / $11.26