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Louisiana 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
$12.77 / $19.16 / $68.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.03 / $13.38 / $15.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.05 / $23.01 / $37.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.03 / $41.50 / $41.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.83 / $6.27 / $285.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.67 / $17.69 / $43.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $6.30 / $18.07