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Kentucky 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
$12.05 / $48.73 / $785.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $30.18 / $37.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.82 / $33.96 / $39.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.33 / $4.82 / $12.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.72 / $52.82 / $62.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.36 / $49.05 / $75.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.52 / $28.79 / $45.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $43.37 / $181.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.75 / $20.75 / $20.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.22 / $7.23 / $18.87