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Idaho rates for HCPCS P9053

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,159.84 / $2,159.84 / $2,159.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.10 / $1,052.08 / $2,159.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,052.08 / $1,104.68 / $2,159.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $3,900.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.42 / $1,449.33 / $1,775.72