Questcor (NASDAQ: QCOR) shares fell around 6% in early trading today. What happened to cause the plunge? Here are the two suspects.

1. Analyst ambivalence
Analysts with Japanese investment bank Mizuho initiated coverage on Questcor with a rating of "neutral." Their price target for the stock is $28 per share. That's exactly $0.17 lower than Questcor's closing mark on Thursday.

Mizuho's rating matches that of Piper Jeffray, which maintained its neutral rating in early November. However, Mizuho stands out from the pack with its low price target. Piper Jaffray's target price is $45 per share, even with the firm's neutral rating. Most other analysts have "buy" or "outperform" ratings for Questcor, with an average target of $40.50 per share. Lazard is most bullish with a target price of $74 per share.

Which of the analysts is guessing more accurately? There's no way to be sure yet, but as of now the market could be giving more credence to the ones from the Land of the Rising Sun.

2. Insurer inertia
The other possible reason for Questcor's dip is the update from Aetna (NYSE:AET) released today. The large insurance company reaffirmed its prior decision to limit coverage of Questcor's H.P. Acthar gel to infantile spasms. 

Some were hoping that Aetna might back off its earlier decision after UnitedHealth Group (NYSE:UNH) and Humana (NYSE:HUM) chose not to pursue such stringent limitations. However, nothing has really changed over the past few months to convince Aetna of Acthar's efficacy for treating multiple sclerosis and nephrotic syndrome.

Shifting into gear
Basically, we have two neutral decisions. Mizuho initiated coverage at neutral. Aetna's no-change update results in a neutral impact on shipments of Acthar. What will it take for Questcor to shift into gear?

The best way to prove that the more optimistic analysts are right is to continue growing sales of Acthar. Questcor's beefed-up sales force is the key to making that happen.

Aetna won't be convinced about Acthar until clinical studies document solid results. Questcor is currently sponsoring several studies that could help bolster its case. No results have yet been announced from any of these studies, however. In the meantime, the company should continue to perform well as long as other insurers maintain their current stances on Acthar.

This article represents the opinion of the writer, who may disagree with the “official” recommendation position of a Motley Fool premium advisory service. We’re motley! Questioning an investing thesis -- even one of our own -- helps us all think critically about investing and make decisions that help us become smarter, happier, and richer.