go back

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
$35.47 / $35.47 / $35.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.92 / $11.08 / $35.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.60 / $37.72 / $37.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.18 / $37.72 / $37.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.31 / $137.36 / $330.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.80 / $55.07 / $72.29
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.27 / $125.58 / $260.19
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.37 / $43.37 / $68.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.48 / $75.45 / $179.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $13.48 / $45.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $13.46 / $37.72