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Arizona rates for HCPCS 0122U

Sickle cell disease, microfluidic flow adhesion (P-Selectin), whole blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $1,047.13 / $2,691.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $389.05 / $512.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $954.99 / $1,412.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $446.68 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $389.05 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $645.65 / $794.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $426.58 / $2,511.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $524.81 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $416.87