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Sickle Cell Adhesion Test, VCAM-1

Nebraska 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?

$363

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $525 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$339$309 to $589
FacilityA hospital or hospital-owned outpatient department$525$363 to $1,349

How much rates vary

Facilitymedian $525 · 10th to 90th $309 to $1,349Professionalmedian $339 · 10th to 90th $309 to $832
$200$500$1K$2Kfacility $525professional $339

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
$363.08
Median
$1,348.96
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$575.44
Typical High
$1,122.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$977.24
Typical High
$1,230.27
Medica
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$338.84
Typical High
$2,398.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$309.03
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$457.09
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$309.03
Typical High
$1,023.29

Where Nebraska 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.

Nebraska· 49th of 51

$363

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.