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South Carolina 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
$28.84 / $1,096.48 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $12.88 / $34.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $30.90 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $93.33 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $43.65 / $53.70
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $32.36 / $50.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $33.88 / $45.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.24 / $20.89