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Montana rates for HCPCS P9054

Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $171.96 / $332.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $171.96 / $366.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,250,000.00 / $2,400,000.00