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West Virginia 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
$225.00 / $256.50 / $405.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.03 / $9.76 / $9.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $16.27 / $18.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.46 / $14.46 / $16.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.78 / $23.69 / $36.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $14.44 / $58.08
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.91 / $166.89 / $214.44
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.23 / $7.23 / $7.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.42 / $16.27