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Maryland rates for HCPCS 0121U

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $407.38 / $537.03
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $407.38 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $354.81 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $588.84 / $724.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $537.03 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $239.88 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $239.88 / $489.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $87.10 / $758.58