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Wisconsin 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 / $706.86 / $20,695.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.64 / $293.39 / $368.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $161.38 / $350.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.75 / $705.53 / $1,082.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.34 / $147.34 / $319.08
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.00 / $293.39 / $368.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.30 / $293.39 / $410.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.77 / $476.77 / $476.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $885.72
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.00 / $293.39 / $382.14
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.34 / $147.34 / $147.34