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Arkansas rates for HCPCS 86053

Aquaporin-4 (neuromyelitis optica [NMO]) antibody; flow cytometry (ie, fluorescence-activated cell sorting [FACS]), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.18 / $15.18 / $238.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.23 / $15.18 / $15.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.01 / $43.01 / $43.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.85 / $18.07 / $18.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.61 / $28.44 / $56.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.37 / $43.37 / $54.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.85 / $10.85 / $10.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $7.23 / $14.46