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Nebraska 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
$24.90 / $37.72 / $951.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.50 / $24.90 / $24.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.87 / $108.12 / $210.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.67 / $57.35 / $61.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.37 / $68.54 / $85.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.58 / $47.31 / $400.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.23 / $7.23 / $34.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.23 / $45.31 / $226.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $45.28 / $66.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.87 / $7.23 / $34.82