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Louisiana 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
$537.03 / $741.31 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $1,000.00 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $575.44 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $457.09 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $257.04 / $562.34