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Louisiana 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
$12.88 / $16.60 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.00 / $15.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $23.44 / $38.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $13.18 / $14.13
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $9.33 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.62 / $16.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $10.96 / $12.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $6.03 / $12.88