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Kansas rates for HCPCS 86053

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

Facilitymedian $40 · 10th–90th $15–$890%5%10%10th90th$40Professionalmedian $18 · 10th–90th $8–$370%10%20%10th90th$18$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
$25.12 / $64.57 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $28.18 / $37.15
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $21.38 / $22.39
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $46.77 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $43.65 / $54.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $51.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.24 / $19.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $38.02 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.24 / $19.05