go back

Maryland 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
$25.34 / $40.28 / $2,175.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $10.09 / $10.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.85 / $12.05 / $16.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.39 / $7.92 / $15.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.39 / $11.41 / $17.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $15.06 / $18.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.72 / $7.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.70 / $6.03 / $9.58