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Oklahoma 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
$9.03 / $13.38 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.92 / $10.50 / $10.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.74 / $27.85 / $40.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.45 / $11.45 / $12.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.40 / $7.83 / $15.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $13.63 / $17.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.03 / $10.50 / $60.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.05 / $12.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $14.46 / $14.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.05 / $7.23