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West Virginia 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
$9.88 / $47.16 / $56.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.76 / $9.88 / $28.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.50 / $50.94 / $56.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.28 / $45.28 / $50.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.65 / $45.28 / $113.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $45.67 / $181.86
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.69 / $284.47 / $945.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $6.03 / $16.98