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Hawaii rates for HCPCS 0121U

Sickle cell disease, microfluidic flow adhesion (VCAM-1), whole blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $501.19 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $398.11 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $602.56 / $630.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $616.60 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $512.86 / $758.58