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Missouri 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
$447.30 / $707.42 / $1,220.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.30 / $447.30 / $447.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.37 / $318.36 / $932.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.93 / $1,103.80 / $1,254.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.63 / $610.67 / $755.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.46 / $684.10 / $2,499.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.02 / $315.74 / $594.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.02 / $315.74 / $631.48