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Texas rates for HCPCS 86052

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

Facilitymedian $22 · 10th–90th $9$620%5%10th90th$22Professionalmedian $9 · 10th–90th $6$130%10%10th90th$9$2.0$10.0$50.0$200.0$1.0K

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
$7.94 / $17.38 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $13.18
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.59
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $38.02 / $66.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.61 / $12.02
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $10.96 / $19.50
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $17.78 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $6.76 / $18.62
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $12.02 / $22.39
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.23 / $17.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $10.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $12.02 / $30.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $6.46 / $15.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $12.02 / $14.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $8.51
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $6.31 / $12.02