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Massachusetts rates for HCPCS P9040

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.00 / $702.24 / $1,690.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.00 / $293.39 / $368.97
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $601.67 / $691.80
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.77 / $476.77 / $476.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.27 / $403.33 / $730.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.34 / $147.34 / $266.33
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $3,472.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.62 / $197.62 / $255.58
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.83 / $649.77 / $1,683.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.77 / $476.77 / $476.77
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.91 / $307.07 / $416.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.62 / $197.62 / $197.62