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Indiana 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
$540.96 / $540.96 / $540.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.04 / $540.96 / $677.60
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
$552.50 / $650.00 / $880.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.89 / $370.10 / $463.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.58 / $428.26 / $535.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.76 / $858.00 / $920.40