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Colorado 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
$55.46 / $111.57 / $352.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.03 / $11.33 / $35.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.20 / $97.30 / $172.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.84 / $15.84 / $27.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.58 / $33.10 / $97.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $43.37 / $54.21
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.80 / $28.67 / $45.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.28 / $49.05 / $139.22
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 / $5.05 / $12.05