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Utah 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
$457.09 / $2,454.71 / $3,235.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $446.68 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $724.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $44.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $616.60 / $2,344.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $436.52 / $457.09
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $512.86 / $1,479.11
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $446.68 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $407.38