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Tennessee 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
$9.52 / $16.72 / $290.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.01 / $9.52 / $19.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.27 / $12.05 / $37.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.42 / $73.98 / $96.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.14 / $18.79 / $54.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.65 / $179.22 / $179.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $7.23 / $24.52