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Idaho 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
$919.01 / $919.01 / $1,323.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.44 / $356.44 / $585.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.47 / $539.50 / $1,985.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.56 / $585.22 / $731.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.65 / $992.94 / $1,052.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.20 / $509.20 / $611.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.80 / $1,018.40 / $1,833.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.82 / $761.18 / $786.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.86 / $213.86 / $611.04