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New Jersey 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
$645.65 / $676.08 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $407.38 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,122.02 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $616.60 / $776.25
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $239.88 / $302.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $9,772.37 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $407.38 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $512.86 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $309.03 / $524.81