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New Mexico 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
$1,578.69 / $1,578.69 / $1,578.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.67 / $631.48 / $631.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.05 / $342.05 / $342.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.63 / $604.63 / $755.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.92 / $526.23 / $631.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.51 / $526.23 / $526.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.02 / $221.02 / $352.57