go back

Minnesota 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 / $876.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.84 / $493.21 / $1,150.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.66 / $215.83 / $215.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.08 / $574.60 / $1,194.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.40 / $1,274.40 / $1,274.40