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Rhode Island 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
$34.63 / $49.88 / $50.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.88 / $10.42 / $10.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.05 / $14.19 / $15.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.03 / $9.03 / $14.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $13.63 / $17.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.22 / $7.23 / $17.38