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Idaho 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
$354.81 / $354.81 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $537.03 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $676.08 / $1,348.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $1,174.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $549.54 / $912.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $676.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,122.02 / $1,621.81
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,174.90 / $1,288.25