go back

Massachusetts 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
$8.44 / $86.78 / $693.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.92 / $8.44 / $51.81
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.65 / $179.22 / $179.22
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $7.23 / $22.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.26 / $29.14 / $48.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.33 / $11.33 / $37.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.91 / $8.42 / $85.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $45.84 / $70.67
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.85 / $3,472.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.60 / $54.60 / $64.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.26 / $37.72 / $78.36
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.51 / $45.96 / $388.35
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.65 / $179.22 / $179.22
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $7.23 / $22.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $7.23 / $37.72