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Minnesota 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
$34.67 / $34.67 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $14.13 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $38.02 / $38.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $38.02 / $38.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $144.54 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $54.95 / $72.44
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $134.90 / $269.15
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $72.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $69.18 / $208.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $12.02 / $74.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $38.02 / $45.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $14.45 / $46.77