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South Dakota rates for HCPCS 86363

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

Facilitymedian $43 · 10th–90th $35–$9330%20%10th90th$43Professionalmedian $35 · 10th–90th $8–$910%10%10th90th$35$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$34.67 / $42.66 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $25.12 / $34.67
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $38.02 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $72.44 / $91.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $42.66 / $177.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $38.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $87.10 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $12.02 / $45.71
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02