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Missouri 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
$512.86 / $891.25 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $446.68 / $660.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $323.59 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,023.29 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $616.60 / $758.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $912.01 / $2,511.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $316.23 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $524.81 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $316.23 / $616.60