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Missouri 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
$27.96 / $50.73 / $158.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.07 / $32.83 / $36.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.72 / $39.61 / $174.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.82 / $12.65 / $24.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.96 / $79.13 / $89.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.44 / $18.22 / $54.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.50 / $65.65 / $179.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $7.23 / $18.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $7.23 / $22.29