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Wisconsin rates for HCPCS P9037

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$690.18 / $867.20 / $3,250.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.18 / $690.18 / $912.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $42.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,155.24 / $1,349.98 / $2,070.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.52 / $240.52 / $610.54
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.34 / $808.34 / $1,010.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.34 / $808.34 / $1,131.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,384.37 / $1,384.37 / $1,384.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $3,335.97
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.34 / $808.34 / $1,010.42
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.52 / $240.52 / $240.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.50 / $525.50 / $525.50