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Montana 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
$674.33 / $674.33 / $1,701.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.08 / $293.39 / $337.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.34 / $147.34 / $266.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.39 / $293.39 / $451.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.34 / $1,800,000.00 / $2,400,000.00