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Maine 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
$512.86 / $512.86 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $398.11 / $489.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $245.47 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $724.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $512.86 / $616.60
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $407.38 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $758.58