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Texas 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
$7.95 / $22.49 / $344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $9.03 / $34.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $36.15 / $67.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $20.00 / $26.41
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.72 / $56.60 / $84.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.72 / $37.72 / $37.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.77 / $26.08 / $167.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $21.20 / $72.12
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.37 / $179.22 / $179.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.50 / $37.72 / $39.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.07 / $37.72 / $37.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.64 / $37.72 / $45.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $12.29 / $37.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.05 / $12.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.70 / $4.82 / $37.72