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Maine rates for HCPCS 86053

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

Facilitymedian $78 · 10th–90th $38–$5130%20%10th90th$78Professionalmedian $28 · 10th–90th $8–$550%10%10th90th$28$5.0$10.0$20.0$50.0$100.0$200.0$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
$38.02 / $158.49 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.96 / $56.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $77.62 / $83.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $15.14 / $24.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $38.02 / $53.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $38.02 / $45.71
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $17.38 / $40.74