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New Jersey 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
$6.38 / $37.72 / $133.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.39 / $7.91 / $22.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.42 / $47.73 / $112.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.39 / $13.22 / $54.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $18.87 / $22.64
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.41 / $26.41 / $8,702.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.64 / $9.64 / $9.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $13.01 / $22.64