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Maine 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
$524.81 / $524.81 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $407.38 / $512.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $251.19 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $758.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $524.81 / $630.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $426.58 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $794.33