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New Hampshire 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
$1,288.25 / $1,288.25 / $3,548.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $354.81 / $407.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $977.24 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $331.13 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,584.89 / $2,238.72
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
$512.86 / $891.25 / $1,621.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $309.03 / $776.25