go back

West Virginia 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
$10.86 / $47.16 / $725.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.76 / $9.88 / $28.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.50 / $50.94 / $56.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.28 / $45.28 / $50.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.65 / $45.28 / $113.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $45.67 / $181.86
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.69 / $284.47 / $383.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $6.03 / $16.98