go back

South Dakota 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
$293.39 / $608.39 / $608.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.24 / $293.39 / $293.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.25 / $251.25 / $314.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.78 / $495.85 / $725.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.94 / $376.94 / $376.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.29 / $376.94 / $386.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.80 / $255.80 / $255.80