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Indiana 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
$602.56 / $812.83 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $426.58 / $512.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $1,584.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $87.10 / $524.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $7,585.78 / $43,651.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $602.56 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $524.81 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $316.23 / $524.81