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Indiana rates for HCPCS 86052

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

Facilitymedian $15 · 10th–90th $12–$450%20%10th90th$15Professionalmedian $10 · 10th–90th $6–$160%20%10th90th$10$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$11.48 / $18.62 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $9.77 / $13.80
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $36.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $12.02 / $18.20
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $19.50 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $11.48 / $16.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $12.02 / $12.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.24 / $13.18