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New Mexico 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
$18.20 / $38.90 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.72 / $14.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $66.07 / $107.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $7.41 / $11.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $7.76 / $7.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $16.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $12.02 / $12.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $11.48 / $14.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $10.96 / $10.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $7.24