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South Carolina rates for HCPCS 86052

Aquaporin-4 (neuromyelitis optica [NMO]) antibody; cell-based immunofluorescence assay (CBA), each

Facilitymedian $40 · 10th–90th $9–$2400%20%10th90th$40Professionalmedian $10 · 10th–90th $9–$170%20%40%10th90th$10$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $51.29 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $15.14
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $39.81 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $10.23 / $16.98
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $10.96 / $23.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $12.02 / $12.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.24 / $12.02