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Hawaii 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
$31.13 / $35.28 / $45.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.90 / $51.81 / $420.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.28 / $45.28 / $45.28
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.51 / $23.50 / $28.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.72 / $45.28 / $56.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $45.28 / $45.28
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.14 / $44.52 / $84.89