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Wisconsin 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 / $817.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $500.00 / $710.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.63 / $744.63 / $744.63
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.94 / $617.41 / $817.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.94 / $617.41 / $864.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.02 / $1,031.02 / $1,031.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $2,344.76
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.41 / $617.41 / $817.27
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.63 / $1,031.02 / $1,031.02