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Oklahoma 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
$9.03 / $37.72 / $90.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.03 / $10.92 / $19.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.54 / $27.85 / $40.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.45 / $11.45 / $12.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.09 / $12.30 / $26.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $43.37 / $54.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.94 / $10.50 / $179.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.05 / $24.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.05 / $12.05