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Massachusetts 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
$677.60 / $677.60 / $685.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.96 / $677.60 / $876.05
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $914.50 / $1,051.47
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.40 / $1,274.40 / $1,274.40
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $3,472.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.35 / $224.51 / $235.74
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.40 / $1,274.40 / $1,274.40