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Massachusetts rates for HCPCS 86052

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

Facilitymedian $27 · 10th–90th $13$580%10%20%10th90th$27Professionalmedian $11 · 10th–90th $7$200%20%40%10th90th$11$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$7.94 / $27.54 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $14.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $35.48 / $60.26
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $12.02 / $29.51
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $23.99 / $34.67
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $11.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $9.12 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $13.49 / $18.62
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $69.18 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $20.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $25.70
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $457.09 / $467.74
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $35.48 / $60.26
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $12.02 / $29.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $12.02 / $14.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $9.55 / $29.51