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Tennessee rates for HCPCS 86362

Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.40 / $12.00 / $33.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.03 / $9.64 / $11.45
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.53 / $20.32 / $20.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.27 / $7.83 / $19.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.83 / $23.99 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.52 / $6.75 / $17.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.69 / $60.00 / $60.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.23 / $7.23 / $12.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $7.23 / $12.05