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Illinois rates for HCPCS 86053

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

Facilitymedian $76 · 10th–90th $31–$5130%5%10%10th90th$76Professionalmedian $29 · 10th–90th $3–$490%10%20%10th90th$29$5.0$20.0$100.0$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
$30.90 / $77.62 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $28.84 / $45.71
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $60.26 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $26.30 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $81.28 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $19.50 / $54.95
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $95.50 / $489.78
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $38.02 / $75.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.24 / $15.85