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Texas rates for HCPCS P9039

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.71 / $248.71 / $899.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.71 / $248.71 / $287.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.08 / $404.08 / $404.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.37 / $313.37 / $324.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.39 / $449.39 / $449.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.71 / $248.71 / $705.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.71 / $248.71 / $705.94
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
$699.93 / $699.93 / $699.93
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $81.00