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Louisiana 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
$557.79 / $759.36 / $2,767.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.67 / $584.12 / $684.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.79 / $1,027.67 / $1,619.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.79 / $1,009.44 / $3,716.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.89 / $604.63 / $755.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.49 / $263.12 / $789.35