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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
$676.08 / $1,380.38 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $407.38 / $562.34
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $794.33 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $724.44
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $302.00 / $741.31
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $512.86 / $891.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,258.93 / $2,089.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $416.87 / $1,258.93
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $512.86 / $562.34
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $512.86 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $512.86 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $309.03 / $758.58