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Massachusetts 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
$7.94 / $85.11 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.96 / $251.19
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $7.24 / $22.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $23.99 / $34.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $8.51 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $45.71 / $57.54
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $12.59 / $12.59
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $64.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $38.02 / $63.10
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $19.05 / $831.76
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $7.24 / $22.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $22.39 / $38.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $15.85 / $38.02