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Wyoming 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
$37.72 / $37.72 / $37.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $12.05 / $12.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.06 / $19.00 / $39.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.37 / $43.37 / $54.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.05 / $12.05