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Sickle Cell Adhesion Test, VCAM-1

North Dakota 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?

$851

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $851 for this service. Most negotiated rates run $355 to $1,023.

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.

How much rates vary

Facilitymedian $355 · 10th to 90th $355 to $912Professionalmedian $871 · 10th to 90th $355 to $1,148
$200$500$1K$2Kfacility $355professional $871

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
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$912.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$977.24
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$741.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$602.56
Typical High
$2,398.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$257.04
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$512.86
Typical High
$741.31

Where North Dakota 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.

North Dakota· 3rd of 51

$851

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.