go back

Wisconsin 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
$317.60 / $507.99 / $979.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.71 / $317.60 / $317.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $135.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.02 / $393.83 / $604.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.76 / $116.76 / $178.12
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.74 / $317.60 / $348.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.67 / $317.60 / $536.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.53 / $329.53 / $329.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $70.00 / $794.97
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.74 / $317.60 / $369.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.76 / $116.76 / $116.76
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.27 / $281.95 / $316.80