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Nebraska 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
$1,047.13 / $1,380.38 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $354.81 / $457.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $575.44 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $794.33 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,000.00 / $1,258.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $630.96 / $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
$234.42 / $478.63 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $316.23 / $575.44