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West Virginia 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
$657.79 / $789.35 / $789.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.67 / $394.67 / $426.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.41 / $2,960.05 / $14,208.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.48 / $710.41 / $119,998.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.56 / $631.48 / $1,578.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.63 / $755.79 / $2,536.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.02 / $236.80 / $710.41