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New York 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
$9.86 / $44.90 / $107.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.57 / $7.92 / $19.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.72 / $37.72 / $98.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.82 / $11.09 / $28.97
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.23 / $12.05 / $12.05
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.80 / $12.05 / $12.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.39 / $15.59 / $92.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $54.21 / $181.86
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.71 / $49.05 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.81 / $22.26 / $70.56
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.30 / $7.30 / $7.30
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $10.61 / $39.54
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.95 / $30.71 / $168.07
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.42 / $68.12 / $555.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $11.51 / $54.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $7.23 / $22.64
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.67 / $43.39 / $43.39
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.55 / $12.60 / $45.35