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Maryland rates for HCPCS 86363

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

Facilitymedian $380 · 10th–90th $9–$3980%50%10th90th$380Professionalmedian $11 · 10th–90th $6–$350%10%10th90th$11$0.5$2.0$10.0$50.0$200.0

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
$354.81 / $380.19 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.96 / $34.67
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $30.20 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $7.94 / $15.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.41 / $28.18 / $66.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $41.69 / $56.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $15.85 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.31 / $19.05
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $9.55 / $56.23