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Tennessee 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
$104.71 / $416.87 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $398.11 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $524.81 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $1,071.52 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $645.65 / $794.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $363.08 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $316.23 / $524.81