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Michigan 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
$34.04 / $35.84 / $55.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.94 / $35.84 / $35.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.64 / $42.68 / $74.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.23 / $28.30 / $38.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $43.37 / $57.30
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.57 / $35.84 / $65.86
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.57 / $32.25 / $45.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.11 / $31.24 / $42.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $7.23 / $13.32