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.
Original text from hospital filings
Cell-based immunofluorescence (CBA) detection of myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody
Low
$6
Average
$452
Median
$104
High
$6.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
68 payers; the 90th percentile is 52.6× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Bcbs Mt percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $178 | $178 | $2 | 1% | 4–40 | $177 – $181 |
| 2 | Wellmark case rate · outpatient · +13 other terms | 13 | $12 | $18 | $11 | 65% | 2–20 | $12 – $45 |
| 3 | UnitedHealthcare fee schedule · outpatient · +29 other terms | 717 | $12 | $30 | $124 | 407% | 1–10 | $1 – $1.9k |
| 4 | Cigna fee schedule · outpatient · +18 other terms | 353 | $22 | $59 | $186 | 317% | 1–10 | $5 – $1.7k |
| 5 | Aetna fee schedule · outpatient · +23 other terms | 627 | $13 | $182 | $646 | 355% | — | $0 – $8.4k |
| 6 | Blue Cross Blue Shield fee schedule · outpatient · +27 other terms | 457 | $17 | $70 | $240 | 343% | — | $1 – $1.9k |
| 7 | Humana fee schedule · outpatient · +20 other terms | 430 | $12 | $51 | $260 | 514% | — | $1 – $2.4k |
| 8 | WellCare fee schedule · outpatient · +15 other terms | 286 | $12 | $27 | $90 | 330% | — | $3 – $1.1k |
| 9 | Molina fee schedule · outpatient · +25 other terms | 237 | $13 | $15 | $10 | 69% | — | $1 – $195 |
| 10 | Devoted fee schedule · outpatient · +12 other terms | 185 | $12 | $12 | $0 | 3% | — | $12 – $14 |
| 11 | Anthem fee schedule · outpatient · +20 other terms | 182 | $13 | $26 | $26 | 101% | — | $3 – $288 |
| 12 | Oscar fee schedule · outpatient · +16 other terms | 161 | $23 | $26 | $9 | 33% | — | $12 – $37 |
| 13 | Cigna Healthspring fee schedule · outpatient · +7 other terms | 129 | $13 | $12 | $1 | 8% | — | $11 – $21 |
| 14 | Ambetter facility · fee schedule · outpatient · +16 other terms | 114 | $22 | $23 | $5 | 20% | — | $12 – $31 |
| 15 | Kaiser fee schedule · outpatient · +17 other terms | 108 | $13 | $35 | $50 | 144% | — | $10 – $428 |
| 16 | Aetna Better Health fee schedule · outpatient · +16 other terms | 103 | $11 | $12 | $4 | 36% | — | $6 – $41 |
| 17 | Tricare facility · fee schedule · outpatient · +15 other terms | 90 | $12 | $17 | $35 | 208% | — | $10 – $319 |
| 18 | Caresource fee schedule · outpatient · +12 other terms | 84 | $12 | $90 | $263 | 292% | — | $1 – $1.1k |
| 19 | MultiPlan fee schedule · outpatient · +14 other terms | 67 | $95 | $373 | $671 | 180% | — | $6 – $2.5k |
| 20 | Highmark facility · fee schedule · outpatient · +14 other terms | 66 | $14 | $18 | $10 | 57% | — | $5 – $55 |
| 21 | First Health fee schedule · outpatient · +14 other terms | 62 | $24 | $80 | $127 | 159% | — | $10 – $700 |
| 22 | Optum fee schedule · outpatient · +13 other terms | 55 | $12 | $28 | $70 | 247% | — | $12 – $470 |
| 23 | Superior Healthplan fee schedule · outpatient · +4 other terms | 55 | $13 | $19 | $35 | 182% | — | $10 – $490 |
| 24 | Amerihealth Caritas fee schedule · outpatient · +12 other terms | 52 | $12 | $13 | $4 | 28% | — | $9 – $32 |
| 25 | Medicaid facility · fee schedule · outpatient · +10 other terms | 50 | $11 | $11 | $2 | 15% | — | $8 – $22 |
← Hospitals reporting CPT 86362 · Snapshot 20261112T181611Z-3fa9fb76