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Arizona rates for HCPCS P9057

Red Blood Cells Frozen/Deglycerolized/Washed Leukocytes Reduced Irradiated Each Unit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.04 / $540.96 / $876.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.00 / $376.92 / $628.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.40 / $96.00 / $111.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.08 / $542.08 / $876.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.40 / $1,274.40 / $1,274.40