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New Mexico 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
$9.03 / $25.61 / $113.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.03 / $14.46 / $51.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.59 / $197.18 / $338.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.05 / $30.86 / $35.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.83 / $7.83 / $7.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.27 / $43.37 / $54.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.75 / $37.72 / $37.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.05 / $19.62 / $35.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.88 / $12.05 / $19.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.05 / $12.05