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North Dakota 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
$371.54 / $371.54 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $371.54 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,047.13 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $776.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $630.96 / $2,511.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $269.15 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $524.81 / $758.58