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Virginia 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
$398.11 / $1,000.00 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $398.11 / $501.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,754.23 / $3,311.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $1,023.29 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $602.56 / $758.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $630.96 / $776.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $416.87 / $602.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $1,096.48
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $602.56 / $1,348.96
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $602.56 / $1,096.48
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 / $234.42 / $398.11