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Montana rates for HCPCS 86363

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.86 / $13.86 / $13.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.56 / $50.56 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.56 / $50.56 / $50.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.71 / $54.71 / $54.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.37 / $54.21 / $54.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.71 / $54.71 / $54.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.85 / $12.05 / $54.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.05 / $15.85