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Wisconsin 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
$630.96 / $1,445.44 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $426.58 / $562.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $69.18 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,698.24 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $794.33 / $1,659.59
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $1,819.70 / $3,090.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $489.78 / $2,511.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $316.23 / $954.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $54.95 / $794.33
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,202.26 / $1,737.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $2,511.89
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,884.03 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $316.23 / $1,023.29