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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
$368.36 / $368.36 / $947.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.36 / $368.36 / $368.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.83 / $1,060.34 / $1,189.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.63 / $610.67 / $767.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.36 / $626.21 / $2,499.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.02 / $526.23 / $894.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.02 / $526.23 / $736.72