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Connecticut rates for HCPCS 0122U

Sickle cell disease, microfluidic flow adhesion (P-Selectin), whole blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $346.74 / $512.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $870.96 / $1,412.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $194.98 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $1,737.80 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $758.58
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $398.11 / $933.25