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
Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie, fluorescence-activated cell sorting ºFACS»), each
Plano, TX
See all hospitals reporting CPT 86363 →Price type
Medical City Plano’s median price of $38 is 5% below the median hospital's median price ($40), higher than 15% of the 1,943 hospitals reporting CPT 86363. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 14 payers, 76 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 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $6 | $6 | — | — | — | $6 – $6 |
| 2 | Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges | $6 | $6 | — | — | — | $6 – $6 |
| 3 | Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges | $6 | $6 | — | — | — | $6 – $6 |
| 4 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $6 | $6 | — | — | — | $6 – $6 |
| 5 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $6 | $6 | — | — | — | $6 – $6 |
| 6 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 7 | Cigna qhp percent of total billed charges · outpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 8 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 9 | UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 10 | UnitedHealthcare smallgroup fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 11 | Aetna qhphix percent of total billed charges · outpatientfrom % of charges | $13 | $13 | — | — | — | $13 – $13 |
| 12 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $14 | $14 | — | — | — | $14 – $14 |
| 13 | Blue Cross Blue Shield bluepremier fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 14 | Aetna newbusiness percent of total billed charges · outpatientfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
| 15 | Healthcare Highways narrownetwork percent of total billed charges · outpatientfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
| 16 | Aetna comm percent of total billed charges · outpatientfrom % of charges | $21 | $21 | — | — | — | $21 – $21 |
| 17 | Aetna meritain percent of total billed charges · outpatientfrom % of charges | $21 | $21 | — | — | — | $21 – $21 |
| 18 | Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 19 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 20 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 21 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 22 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 23 | Blue Cross Blue Shield ppo fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 24 | Aetna oon percent of total billed charges · outpatientfrom % of charges | $25 | $25 | — | — | — | $25 – $25 |
| 25 | Humana comm percent of total billed charges · outpatientfrom % of charges | $25 | $25 | — | — | — | $25 – $25 |
Last updated: Mar 1, 2026
See Myelin antibody test using cell flow cytometry pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.