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Montana rates for HCPCS P9053

Platelets Pheresis Leukocytes Reduced Cmv-Negative Irradiated Each Unit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.10 / $1,052.08 / $2,159.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.69 / $781.69 / $781.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.09 / $1,052.08 / $2,375.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,250,000.00 / $2,400,000.00