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Idaho 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
$27.96 / $27.96 / $408.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $23.50 / $23.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.83 / $7.92 / $147.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.82 / $43.37 / $54.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.33 / $23.50 / $24.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.72 / $39.61 / $49.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.91 / $62.25 / $135.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.07 / $64.59 / $66.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.05 / $30.18