Aquaporin-4 antibody blood test for neuromyelitis optica

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ELISA detection of aquaporin-4 (neuromyelitis optica [NMO]) antibody

Payers reporting CPT 86051

Payer pricing summary

Low

Average

$123

Median

$48

High

$540

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +26 other terms	698	$12	$20	$64	322%	2–20	$1 – $1.1k
2	Aetna fee schedule · outpatient · +24 other terms	621	$12	$116	$486	417%	2–20	$0 – $8.4k
3	Cigna fee schedule · outpatient · +19 other terms	349	$21	$40	$87	217%	1–10	$5 – $928
4	Ambetter fee schedule · outpatient · +16 other terms	109	$19	$18	$17	95%	1–10	$7 – $216
5	Bcbs Al facility · other · outpatient · +1 other terms	3	$15	$16	$2	10%	1–10	$14 – $18
6	Humana fee schedule · outpatient · +21 other terms	449	$12	$31	$112	360%	—	$1 – $1.2k
7	Blue Cross Blue Shield fee schedule · outpatient · +27 other terms	440	$16	$43	$105	247%	—	$1 – $1.1k
8	WellCare fee schedule · outpatient · +15 other terms	296	$12	$19	$38	197%	—	$5 – $412
9	Molina fee schedule · outpatient · +27 other terms	235	$13	$14	$8	57%	—	$1 – $114
10	Devoted fee schedule · outpatient · +12 other terms	192	$12	$12	$0	2%	—	$11 – $13
11	Anthem fee schedule · outpatient · +20 other terms	172	$13	$23	$29	125%	—	$5 – $309
12	Oscar fee schedule · outpatient · +16 other terms	169	$22	$24	$8	34%	—	$7 – $35
13	Cigna Healthspring fee schedule · outpatient · +6 other terms	130	$12	$12	$1	7%	—	$7 – $19
14	Aetna Better Health fee schedule · outpatient · +16 other terms	99	$10	$10	$1	10%	—	$6 – $12
15	Kaiser fee schedule · outpatient · +16 other terms	92	$12	$15	$7	48%	—	$1 – $43
16	Caresource fee schedule · outpatient · +13 other terms	88	$12	$62	$132	211%	—	$1 – $625
17	Tricare facility · fee schedule · outpatient · +13 other terms	74	$11	$11	$1	9%	—	$9 – $14
18	Highmark facility · fee schedule · outpatient · +14 other terms	58	$14	$16	$9	55%	—	$4 – $52
19	MultiPlan fee schedule · outpatient · +15 other terms	53	$193	$392	$386	98%	—	$12 – $1.4k
20	Optum fee schedule · outpatient · +15 other terms	53	$12	$14	$6	42%	—	$6 – $33
21	Superior Healthplan fee schedule · outpatient · +5 other terms	53	$12	$18	$5	28%	—	$10 – $23
22	Medicare fee schedule · both · +10 other terms	50	$12	$12	$1	4%	—	$12 – $16
23	Amerihealth Caritas fee schedule · outpatient · +10 other terms	47	$12	$12	$3	22%	—	$8 – $17
24	Clover fee schedule · outpatient · +9 other terms	47	$12	$12	$0	2%	—	$12 – $12
25	Medicaid facility · fee schedule · outpatient · +10 other terms	44	$10	$11	$2	17%	—	$9 – $21

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