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Iowa rates for HCPCS P9053

Platelets, pheresis, leukocytes reduced, CMV-negative, irradiated, each unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,047.13 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $912.01
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $3,388.44 / $4,265.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,047.13 / $1,737.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $870.96 / $1,479.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,230.27 / $1,621.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $457.09 / $457.09