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Missouri 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 / $1,052.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.71 / $500.00 / $500.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,052.08 / $1,136.25 / $2,340.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.01 / $1,463.01 / $1,463.01