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Arizona rates for HCPCS 86053

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

Facilitymedian $58 · 10th–90th $10–$1510%5%10%10th90th$58Professionalmedian $25 · 10th–90th $7–$2340%10%10th90th$25$0.5$2.0$10.0$50.0$200.0

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
$25.12 / $75.86 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $25.12 / $234.42
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $70.79 / $128.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $31.62 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $23.44 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $45.71 / $57.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $27.54 / $177.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $15.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $22.39 / $43.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $15.85