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Montana rates for HCPCS P9039

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.71 / $248.71 / $1,040.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.71 / $248.71 / $1,144.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,250,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.62 / $197.62 / $197.62