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South Carolina rates for HCPCS 86053

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

Facilitymedian $155 · 10th–90th $38–$1,0960%5%10%10th90th$155Professionalmedian $15 · 10th–90th $9–$390%20%10th90th$15$5.0$20.0$100.0$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
$52.48 / $154.88 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $15.14 / $32.36
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $30.20 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $95.50 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $31.62 / $53.70
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $32.36 / $50.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $33.88 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.24 / $19.05