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Montana rates for HCPCS P9031

Platelets Leukocytes Reduced Each Unit (Special Coverage Instructions Apply. See Mcm: 2455)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.42 / $175.28 / $347.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.66 / $148.66 / $178.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.77 / $175.28 / $381.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,250,000.00 / $2,400,000.00