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Connecticut rates for HCPCS 86053

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

Facilitymedian $48 · 10th–90th $15–$1150%20%10th90th$48Professionalmedian $9 · 10th–90th $6–$450%20%10th90th$9$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$38.02 / $47.86 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.94 / $44.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $58.88 / $102.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $15.14 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $60.26 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $43.65 / $66.07
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $38.02 / $52.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $12.30 / $66.07