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Pennsylvania rates for HCPCS P9053

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,052.07 / $1,754.31 / $3,373.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.10 / $1,052.08 / $1,052.08
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.49 / $523.53 / $523.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.61 / $1,056.61 / $1,056.61
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,549.71 / $1,549.71 / $1,549.71
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,052.07 / $1,052.08 / $3,373.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.10 / $1,052.08 / $1,052.08
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.61 / $1,056.61 / $1,056.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.04 / $711.04 / $711.04