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Indiana rates for HCPCS P9054

Whole Blood Or Red Blood Cells Leukocytes Reduced Frozen Deglycerol Washed Each Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.96 / $171.96 / $171.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.96 / $171.96 / $332.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $650.00 / $1,254.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.00 / $650.00 / $880.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.84 / $584.72 / $732.99
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.54 / $676.61 / $845.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.32 / $858.00 / $858.00