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Wisconsin 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
$616.60 / $1,412.54 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $407.38 / $537.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $69.18 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,621.81 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $758.58 / $1,584.89
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $1,778.28 / $2,951.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $478.63 / $2,398.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $309.03 / $912.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $54.95 / $257.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,174.90 / $1,659.59
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $2,398.83
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,754.23 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $309.03 / $977.24