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Massachusetts 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
$371.54 / $1,174.90 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $398.11 / $512.86
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $316.23 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $380.19 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $645.65 / $794.33
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $891.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $1,174.90
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $316.23 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $524.81 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $407.38 / $1,202.26