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Missouri rates for HCPCS 86053

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

Facilitymedian $54 · 10th–90th $33–$1580%10%10th90th$54Professionalmedian $23 · 10th–90th $5–$430%10%10th90th$23$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
$33.11 / $56.23 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $32.36 / $44.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $13.80 / $27.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $17.78 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $72.44 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $18.20 / $44.67
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $66.07 / $177.83
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
$5.01 / $38.02 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.24 / $22.39