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Montana rates for HCPCS 0122U

Sickle cell disease, microfluidic flow adhesion (P-Selectin), whole blood

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $489.78 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $758.58 / $758.58
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $660.69 / $1,584.89
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $660.69 / $1,584.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $478.63 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $524.81