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Pennsylvania 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
$524.48 / $1,757.04 / $2,103.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.19 / $412.45 / $432.82
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.18 / $397.18 / $397.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.67 / $661.56 / $1,689.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.22 / $585.22 / $731.53
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.23 / $300.43 / $689.46
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.48 / $1,909.50 / $2,103.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.19 / $417.54 / $2,103.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.81 / $678.08 / $1,689.67
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.22 / $585.22 / $731.53
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.20 / $509.20 / $560.12
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.10 / $509.20 / $560.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.86 / $305.52 / $865.64