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New Mexico rates for HCPCS 86363

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

Facilitymedian $62 · 10th–90th $14–$2820%10%10th90th$62Professionalmedian $12 · 10th–90th $9–$550%20%10th90th$12$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$14.45 / $39.81 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.88 / $54.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $199.53 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $30.90 / $35.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $4.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $43.65 / $53.70
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $38.02 / $38.02
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $19.50 / $41.69
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $19.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $12.02 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $12.02