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Sickle Cell Adhesion Test, VCAM-1

West Virginia 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?

$417

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $631 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 4 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$417$380 to $437
FacilityA hospital or hospital-owned outpatient department$631$417 to $759

How much rates vary

Facilitymedian $631 · 10th to 90th $417 to $759Professionalmedian $417 · 10th to 90th $214 to $437
$200$500$1K$2Kfacility $631professional $417

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
$416.87
Median
$630.96
Typical High
$758.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$416.87
Typical High
$436.52
CareSource
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$741.31
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$2,454.71
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$229.09
Typical High
$512.86

Where West Virginia 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.

West Virginia· 39th of 51

$417

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.