go back

Maryland rates for HCPCS 0122U

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $416.87 / $562.34
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $416.87 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $371.54 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $602.56 / $758.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $549.54 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $251.19 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $245.47 / $512.86
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $87.10 / $794.33