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Iowa 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
$28.84 / $72.44 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $28.84 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $72.44 / $91.20
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $66.07 / $467.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $45.71 / $95.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $45.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $45.71 / $47.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $83.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $38.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $38.02 / $38.02