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Washington, DC 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
$24.82 / $86.02 / $821.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.30 / $28.30 / $28.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $37.72 / $82.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.30 / $63.75 / $136.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.37 / $43.37 / $54.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.69 / $76.69 / $76.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.42 / $34.33