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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
$416.87 / $1,659.59 / $1,737.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $416.87 / $501.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,174.90 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $478.63 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $831.76 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $645.65 / $794.33
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $416.87 / $524.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $524.81 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $263.03 / $524.81
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89