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Maryland 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
$27.92 / $45.27 / $682.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $27.92 / $28.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.85 / $12.05 / $16.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.39 / $8.42 / $47.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.39 / $36.09 / $54.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.72 / $47.16 / $56.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $6.99 / $18.87
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.70 / $6.03 / $9.58