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
AQP4 AB REF 1
Arlington, TX
See all hospitals reporting CPT 86051 →Price type
AMH Cath Labs LLC’s median price of $40 is 192% above the median hospital's median price ($14), higher than 79% of the 1,884 hospitals reporting CPT 86051. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 31 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield managed medicaid fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 4 | Molina managed medicaid fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 6 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 7 | UnitedHealthcare all payer fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 8 | UnitedHealthcare ppo fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 9 | Humana medicare advantage case rate · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 10 | Humana medicare advantage ppo case rate · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 11 | Molina medicare advantage case rate · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 12 | WellCare medicare advantage hmo case rate · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 13 | WellCare medicare advantage mmp case rate · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 14 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 15 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 16 | Blue Cross Blue Shield exchange fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 17 | Blue Cross Blue Shield hmo fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 18 | Blue Cross Blue Shield ppo fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 19 | Aetna whole health fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 20 | Aetna commercial fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 21 | Blue Cross Blue Shield traditional fee schedule · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 22 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $351 | $351 | — | — | — | $351 – $351 |
| 23 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $442 | $442 | — | — | — | $442 – $442 |
| 24 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $443 | $443 | — | — | — | $443 – $443 |
| 25 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $445 | $445 | — | — | — | $445 – $445 |
Last updated: Apr 21, 2026
See Aquaporin-4 antibody blood test for neuromyelitis optica pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.