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Kansas 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 / $65.66 / $120.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.50 / $19.62 / $37.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.87 / $15.06 / $22.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.62 / $17.62 / $33.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.40 / $15.59 / $76.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.37 / $55.00 / $55.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.50 / $10.50 / $65.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $7.23 / $24.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.15 / $7.23 / $20.49