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Montana 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
$359.10 / $898.70 / $1,013.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.25 / $300.22 / $317.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.76 / $116.76 / $148.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.20 / $317.60 / $489.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.76 / $1,800,000.00 / $2,400,000.00