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Minnesota 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
$851.14 / $851.14 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $407.38 / $630.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $524.81 / $524.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $524.81 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $2,041.74 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $776.25 / $1,023.29
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,819.70 / $3,801.89
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $1,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $812.83 / $2,511.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $316.23 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $524.81 / $1,148.15