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Pennsylvania 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
$9.76 / $34.15 / $155.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $10.24 / $29.43
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.62 / $54.04 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.43 / $29.43 / $29.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.92 / $46.36 / $109.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.73 / $17.73 / $47.36
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $22.26 / $51.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.71 / $63.92 / $192.12
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.41 / $32.99 / $155.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $10.50 / $155.83
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.88 / $46.36 / $124.96
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.73 / $42.46 / $54.21
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $37.72 / $37.72
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $37.72 / $37.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.05 / $5.05 / $5.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $7.47 / $37.72