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Wisconsin rates for HCPCS 86052

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

Facilitymedian $33 · 10th–90th $10$2510%10%10th90th$33Professionalmedian $11 · 10th–90th $5$350%10%10th90th$11$5.0$20.0$100.0$500.0$2.0K

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
$18.20 / $60.26 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.47 / $14.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $32.36 / $33.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $42.66
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $38.90 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $17.78 / $38.02
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $41.69 / $70.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $9.77 / $60.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.24 / $21.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $12.02 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $14.45 / $34.67
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $12.02 / $23.99
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $28.18 / $39.81
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $60.26
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $6.46
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $25.70
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $72.44 / $83.18
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $34.67 / $66.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $9.55 / $14.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.24 / $21.38