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Utah rates for HCPCS P9053

Platelets Pheresis Leukocytes Reduced Cmv-Negative Irradiated Each Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.09 / $977.09 / $977.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.19 / $1,052.08 / $2,159.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.56 / $1,031.20 / $1,502.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.04 / $711.04 / $711.04