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Sickle Cell Adhesion Test, VCAM-1

New York 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?

$417

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $891 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 9 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$275$77.62 to $417
FacilityA hospital or hospital-owned outpatient department$891$537 to $1,202

How much rates vary

Facilitymedian $891 · 10th to 90th $417 to $1,413Professionalmedian $275 · 10th to 90th $69 to $513
$100$200$500$1K$2Kfacility $891professional $275

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
$912.01
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$436.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$537.03
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$512.86
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,096.48
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$2,454.71
Typical High
$2,454.71
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$831.76
Typical High
$1,949.84
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$309.03
Typical High
$977.24
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$478.63
Typical High
$575.44
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$954.99
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$489.78
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$512.86
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$309.03
Typical High
$741.31
Univera
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$512.86
Typical High
$588.84
Univera
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$512.86
Typical High
$588.84

Where New York 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.

New York· 40th of 51

$417

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.