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Nebraska 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
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.44 / $702.94 / $1,359.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.93 / $1,630.72 / $2,051.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,463.01 / $1,463.01 / $1,463.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.10 / $921.16 / $921.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$817.36 / $875.85 / $921.16