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Connecticut 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
$10.47 / $38.02 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.08 / $28.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $58.88 / $102.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $13.49 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $24.55 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $43.65 / $53.70
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $38.02 / $52.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.47 / $66.07