go back

Mississippi 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 / $954.99 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $426.58 / $691.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $758.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $288.40 / $1,174.90