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Indiana rates for HCPCS P9053

Platelets Pheresis Leukocytes Reduced Cmv-Negative Irradiated Each Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,052.08 / $1,052.08 / $1,052.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.10 / $1,052.08 / $2,159.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $500.00 / $965.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.71 / $500.00 / $677.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,037.15 / $1,075.56 / $1,348.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.67 / $1,244.58 / $1,555.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.04 / $660.00 / $660.00