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Indiana 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
$30.94 / $108.19 / $139.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.24 / $30.94 / $33.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.81 / $33.77 / $75.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.82 / $12.05 / $20.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.72 / $45.36 / $50.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.72 / $43.39 / $53.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.52 / $71.53 / $146.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.91 / $43.37 / $54.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $7.23 / $18.07