go back

Maine rates for HCPCS 0121U

Sickle Cell Disease Vcam-1 Whole Blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.20 / $509.20 / $1,082.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.45 / $412.45 / $412.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.68 / $203.68 / $330.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.22 / $585.22 / $731.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.20 / $509.20 / $616.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.20 / $509.20 / $824.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.45 / $412.45 / $509.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.52 / $305.52 / $763.80