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Oklahoma 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
$380.19 / $512.86 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $389.05 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $724.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $416.87 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $512.86 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $309.03