Myelin antibody test using cell flow cytometry

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

HC Mog-Igg1 Antibody Flow Cytometry Each

Payers reporting CPT 86363

Payer pricing summary

Low

$10

Average

$159

Median

$119

High

$493

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +20 other terms	349	$54	$84	$73	87%	2–20	$4 – $1.2k
2	UnitedHealthcare fee schedule · outpatient · +33 other terms	719	$29	$35	$79	226%	1–10	$1 – $1.6k
3	Aetna fee schedule · outpatient · +24 other terms	614	$38	$90	$453	503%	—	$0 – $8.4k
4	Humana fee schedule · outpatient · +23 other terms	459	$38	$41	$34	84%	—	$1 – $629
5	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	435	$38	$48	$64	134%	—	$0 – $813
6	WellCare fee schedule · outpatient · +14 other terms	281	$39	$40	$12	29%	—	$5 – $213
7	Molina fee schedule · outpatient · +22 other terms	247	$42	$44	$20	47%	—	$1 – $172
8	Devoted fee schedule · outpatient · +12 other terms	190	$38	$38	$1	3%	—	$37 – $44
9	Anthem fee schedule · outpatient · +20 other terms	172	$42	$51	$52	103%	—	$5 – $283
10	Oscar fee schedule · outpatient · +17 other terms	168	$73	$78	$30	38%	—	$7 – $115
11	Cigna Healthspring fee schedule · outpatient · +7 other terms	127	$39	$38	$2	6%	—	$32 – $63
12	Aetna Better Health fee schedule · outpatient · +17 other terms	102	$12	$20	$12	61%	—	$8 – $40
13	Ambetter facility · fee schedule · outpatient · +14 other terms	98	$68	$71	$16	23%	—	$20 – $96
14	Kaiser fee schedule · outpatient · +17 other terms	91	$38	$53	$38	71%	—	$12 – $350
15	Caresource fee schedule · outpatient · +14 other terms	69	$38	$38	$14	37%	—	$1 – $143
16	Highmark facility · fee schedule · outpatient · +13 other terms	65	$42	$37	$28	76%	—	$5 – $172
17	Tricare fee schedule · outpatient · +14 other terms	55	$38	$37	$3	7%	—	$30 – $43
18	Amerihealth Caritas fee schedule · outpatient · +10 other terms	54	$29	$28	$18	63%	—	$9 – $57
19	Optum fee schedule · outpatient · +16 other terms	53	$38	$59	$110	186%	—	$21 – $987
20	Clover fee schedule · outpatient · +8 other terms	49	$39	$39	$1	2%	—	$38 – $40
21	Superior Healthplan fee schedule · outpatient · +4 other terms	46	$40	$40	$6	16%	—	$32 – $118
22	Medica facility · fee schedule · outpatient · +15 other terms	45	$38	$44	$38	86%	—	$12 – $346
23	First Health fee schedule · outpatient · +14 other terms	41	$38	$69	$169	245%	—	$21 – $1.5k
24	Medicaid facility · fee schedule · outpatient · +12 other terms	36	$34	$33	$7	22%	—	$10 – $52
25	Medicare facility · fee schedule · outpatient · +10 other terms	35	$37	$37	$1	2%	—	$33 – $38

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