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North Carolina 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
$9.64 / $86.82 / $630.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $10.74 / $18.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.41 / $20.41 / $25.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.64 / $22.64 / $26.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.99 / $12.30 / $98.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $43.37 / $54.21
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.64 / $10.50 / $30.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.80 / $30.18 / $30.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.28 / $45.28 / $45.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.03 / $19.28
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.37 / $179.22 / $179.22