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Illinois 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
$30.90 / $77.62 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $28.84 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $60.26 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $26.30 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $52.48 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $19.50 / $54.95
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $100.00 / $489.78
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $48.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $38.02 / $75.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.24 / $19.05