go back

Alaska rates for HCPCS 0121U

Sickle cell disease, microfluidic flow adhesion (VCAM-1), whole blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $3,981.07 / $6,165.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $478.63 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $724.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $512.86 / $2,290.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $1,621.81
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $1,905.46 / $2,041.74
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,148.15 / $1,148.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $398.11 / $933.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $1,023.29 / $1,548.82