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Minnesota rates for HCPCS 0122U

Sickle Cell Disease P-Selectin Whole Blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.00 / $859.00 / $859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.36 / $368.36 / $631.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.44 / $526.23 / $526.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.98 / $526.23 / $526.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.33 / $1,934.97 / $4,617.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.67 / $767.88 / $1,010.24
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,049.05 / $1,754.84 / $3,635.84
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.63 / $604.63 / $955.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.23 / $835.98 / $2,499.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.02 / $335.21 / $1,116.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.02 / $335.21 / $1,120.70