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Montana rates for HCPCS P9052

Platelets Hla-Matched Leukocytes Reduced Apheresis/Pheresis Each Unit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $617.41 / $617.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $77,999.99 / $94,999.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.33 / $617.41 / $950.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,250,000.00 / $2,400,000.00