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Nebraska rates for HCPCS 86363

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

Facilitymedian $100 · 10th–90th $24–$9550%10%10th90th$100Professionalmedian $28 · 10th–90th $7–$2510%10%20%10th90th$28$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $100.00 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $28.18 / $251.19
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $107.15 / $208.93
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $58.88 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $72.44 / $91.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $46.77 / $398.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.24 / $38.02
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $22.39 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $7.24 / $35.48