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Sickle Cell Adhesion Test, VCAM-1

Nevada 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?

$427

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $427 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $977 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 6 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$380$380 to $437
FacilityA hospital or hospital-owned outpatient department$977$550 to $2,692

How much rates vary

Facilitymedian $977 · 10th to 90th $427 to $3,802Professionalmedian $380 · 10th to 90th $214 to $513
$50$100$200$500$1K$2Kfacility $977professional $380

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
$691.83
Median
$1,174.90
Typical High
$3,801.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$416.87
Typical High
$457.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$426.58
Typical High
$1,230.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$309.03
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$602.56
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$724.44
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$831.76
Select Health
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Select Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$512.86
Typical High
$758.58
United
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$309.03
Typical High
$660.69

Where Nevada 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.

Nevada· 37th of 51

$427

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.