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Illinois 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
$537.03 / $912.01 / $1,584.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $426.58 / $588.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $707.95 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $977.24 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $645.65 / $794.33
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $691.83 / $933.25
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $524.81 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $316.23 / $524.81