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Connecticut rates for HCPCS 86363

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

Facilitymedian $38 · 10th–90th $10–$830%20%10th90th$38Professionalmedian $9 · 10th–90th $6–$380%20%10th90th$9$5.0$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $38.02 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.94 / $28.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $58.88 / $102.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $15.14 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $60.26 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $43.65 / $66.07
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $38.02 / $52.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $12.02 / $66.07