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North Carolina 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
$873.54 / $873.54 / $1,153.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.36 / $368.36 / $368.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.86 / $976.92 / $1,381.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.63 / $604.63 / $755.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.72 / $420.98 / $526.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.05 / $526.23 / $526.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.12 / $263.12 / $526.23
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.64 / $2,499.59 / $2,499.59