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West Virginia 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
$417.54 / $636.50 / $763.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.90 / $417.54 / $417.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.42 / $2,864.25 / $13,748.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.04 / $687.42 / $119,998.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.73 / $611.04 / $1,527.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.22 / $731.53 / $2,454.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.86 / $229.14 / $738.34