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Ohio 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
$9.64 / $22.65 / $225.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $10.09 / $11.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.64 / $13.26 / $21.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.82 / $4.82 / $12.05
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $7.59 / $7.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.24 / $12.05 / $16.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.24 / $15.67 / $16.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.83 / $12.39 / $25.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.45 / $10.62 / $17.04
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.83 / $12.40 / $25.37
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $5.45 / $14.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.03 / $9.94 / $14.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $7.23 / $14.46