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Sickle Cell Adhesion Test, VCAM-1

Texas 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?

$513

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $617 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$339$309 to $380
FacilityA hospital or hospital-owned outpatient department$617$457 to $955

How much rates vary

Facilitymedian $617 · 10th to 90th $331 to $2,344Professionalmedian $339 · 10th to 90th $214 to $513
$200$500$1K$2Kfacility $617professional $339

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
$338.84
Median
$741.31
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$354.81
Typical High
$616.60
Christus
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,698.24
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$616.60
Typical High
$776.25
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$2,398.83
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$512.86
Typical High
$562.34
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$512.86
Typical High
$512.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Providence
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$1,819.70
Providence
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$512.86
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$512.86
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$512.86
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$354.81
Typical High
$691.83

Where Texas 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.

Texas· 23rd of 51

$513

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.