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California rates for HCPCS P9057

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.05 / $876.05 / $876.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.96 / $540.96 / $876.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.00 / $1,294.00 / $1,610.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.64 / $329.95 / $650.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $633.16 / $981.86
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.40 / $920.40 / $920.40
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.99 / $373.99 / $448.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.26 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $991.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.40 / $1,274.40 / $1,274.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.08 / $677.60 / $1,252.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,400,000.00 / $2,400,000.00
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.99 / $411.39 / $635.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $747.40 / $747.40