go back

Arizona rates for HCPCS 86363

Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting [FACS]), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.76 / $57.73 / $150.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.50 / $25.28 / $280.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.90 / $62.53 / $104.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.85 / $31.78 / $45.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $16.04 / $105.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $45.84 / $57.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.50 / $23.50 / $179.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.05 / $13.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.05 / $12.05