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Alaska rates for HCPCS 0303U

Hematology, red blood cell (RBC) adhesion to endothelial/subendothelial adhesion molecules, functional assessment, whole blood, with algorithmic analysis and result reported as an RBC adhesion index; hypoxic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $16,982.44 / $26,915.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,089.30 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $6,025.60 / $6,025.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $3,162.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,187.76 / $10,000.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $7,079.46
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $8,511.38 / $8,709.64
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $4,897.79 / $4,897.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,819.70 / $4,073.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,187.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $4,365.16 / $6,606.93