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Michigan rates for HCPCS P9052

Platelets Hla-Matched Leukocytes Reduced Apheresis/Pheresis Each Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.41 / $617.41 / $617.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.41 / $617.41 / $617.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.14 / $2,185.44 / $4,222.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.60 / $763.30 / $908.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.00 / $660.00 / $660.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.41 / $704.37 / $704.37
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.41 / $704.37 / $862.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.70 / $1,080.70 / $1,080.70