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New Jersey 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
$676.08 / $691.83 / $3,162.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $416.87 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,148.15 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $645.65 / $794.33
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $245.47 / $309.03
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $10,471.29 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $478.63 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $524.81 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $316.23 / $537.03