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Vermont 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
$354.81 / $407.38 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $588.84 / $724.44
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $309.03 / $776.25