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Iowa rates for HCPCS 86053

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

Facilitymedian $72 · 10th–90th $29–$2570%10%10th90th$72Professionalmedian $29 · 10th–90th $8–$2510%10%10th90th$29$5.0$10.0$20.0$50.0$100.0$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
$28.84 / $83.18 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $28.84 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $72.44 / $91.20
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $66.07 / $295.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $45.71 / $95.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $45.71
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $45.71 / $47.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $38.02
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $38.02 / $38.02