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Idaho rates for HCPCS 86363

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

Facilitymedian $38 · 10th–90th $22–$1170%10%10th90th$38Professionalmedian $12 · 10th–90th $9–$400%20%10th90th$12$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
$21.88 / $28.18 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.96 / $34.67
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $61.66 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $32.36 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $15.49 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $43.65 / $53.70
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $38.02 / $38.02
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $38.02 / $45.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $61.66 / $134.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $32.36 / $39.81
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $18.20