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Texas 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
$8.07 / $19.28 / $65.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.23 / $10.09 / $11.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.23 / $7.23 / $7.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $37.84 / $68.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $6.39 / $11.81
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $10.85 / $19.28
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.87 / $16.87 / $16.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.77 / $17.62 / $54.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $6.82 / $22.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.69 / $60.00 / $60.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.03 / $12.05 / $13.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.85 / $12.05 / $12.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.40 / $12.05 / $16.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $10.85 / $12.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.05 / $12.05 / $14.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.05 / $7.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.70 / $4.82 / $12.05