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Pennsylvania 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
$10.24 / $50.07 / $211.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $10.24 / $10.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.23 / $7.23 / $7.23
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.62 / $54.04 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.40 / $9.40 / $9.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.92 / $15.12 / $35.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.71 / $5.71 / $14.98
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $7.11 / $16.32
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.76 / $37.06 / $98.41
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.23 / $7.84 / $8.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.24 / $49.77 / $411.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $10.34 / $49.77
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.39 / $14.91 / $40.20
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.71 / $13.63 / $17.04
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.05 / $12.05 / $13.26
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.60 / $12.05 / $13.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $7.23 / $20.97