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South Carolina 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
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,357.59 / $2,632.96 / $4,326.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.69 / $781.69 / $1,056.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.88 / $1,052.08 / $1,788.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00