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New Hampshire 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
$1,348.96 / $1,348.96 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $371.54 / $426.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,000.00 / $3,019.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $338.84 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,659.59 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $758.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $912.01 / $1,698.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $316.23 / $812.83