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Michigan 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
$501.19 / $501.19 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $446.68 / $630.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $371.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $371.54 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $645.65 / $794.33
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $1,258.93
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $524.81 / $707.95
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $524.81 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $316.23 / $338.84