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North Carolina 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
$18.68 / $222.29 / $488.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.27 / $9.64 / $19.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.41 / $20.41 / $25.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.64 / $22.64 / $26.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $27.41 / $98.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $43.37 / $54.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.64 / $10.50 / $30.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $30.18 / $30.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.03 / $19.28
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.65 / $179.22 / $179.22