go back

South 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
$52.48 / $154.88 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $12.88 / $38.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $30.90 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $93.33 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $43.65 / $53.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $32.36 / $50.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $33.88 / $45.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.24 / $20.89