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Indiana rates for HCPCS P9016

Red Blood Cells Leukocytes Reduced Each Unit (Special Coverage Instructions Apply. See Mcm: 2455 B)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.99 / $773.67 / $1,676.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.74 / $317.60 / $317.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $60.00 / $115.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $82.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.51 / $335.50 / $420.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.62 / $388.22 / $485.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.32 / $230.32 / $230.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.76 / $116.76 / $116.76