What is the standard insurance baseline for CPT 86362?

The standard insurance baseline reimbursement rate is $11.81. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Cell-based Immunofluorescence Cba Detection of Myelin Oligodendrocyte Glycoprotein Mog-igg1 Antibody

CPT 86362Medical Service

Cell-based Immunofluorescence Cba Detection of Myelin Oligodendrocyte Glycoprotein Mog-igg1 Antibody

Q: What do doctors typically charge for Cell-based Immunofluorescence Cba Detection of Myelin Oligodendrocyte Glycoprotein Mog-igg1 Antibody?

The nationwide median physician charge for Cell-based Immunofluorescence Cba Detection of Myelin Oligodendrocyte Glycoprotein Mog-igg1 Antibody (CPT 86362) is $698.12. Doctor billed charges vary based on geographic region, setting, and overhead.

Cell-based immunofluorescence (cba) detection of myelin oligodendrocyte glycoprotein (mog-igg1) antibody. Clinical pricing breakdown and utilization metrics across 24 practicing doctors nationwide.

$698.12

Peer Median Charge

Gross billed rate

$11.81

Standard Baseline

Customary allowable

59.1x

National Markup

Charge vs baseline

Active Physicians

Billing this code

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $698.12. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $11.81 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code 86362 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"