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Sickle Cell Adhesion Test, VCAM-1

Montana rates for HCPCS 0121U

Measures how strongly a person's blood cells stick to VCAM-1, a protein on the lining of blood vessels, using a whole blood sample. Sticking of this kind contributes to the blockages seen in sickle cell disease. A companion test measures adhesion to P-selectin instead.

Rates data updated July 2026.

How much does Sickle Cell Adhesion Test, VCAM-1 cost?

$631

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $631 for this service. The price depends on where it is billed: about $631 from a physician practice, and about $631 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$631$457 to $692
FacilityA hospital or hospital-owned outpatient department$631$631 to $813

How much rates vary

Facilitymedian $631 · 10th to 90th $513 to $1,549Professionalmedian $631 · 10th to 90th $214 to $1,000
$100$200$500$1Kfacility $631professional $631

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$724.44
Typical High
$741.31
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$630.96
Typical High
$1,548.82
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$630.96
Typical High
$1,548.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$457.09
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$512.86

Where Montana sits

The same service costs 3.0 times more in South Dakota than in Connecticut. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 7th of 51

$631

SD $977CT $331

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.