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Missouri 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
$540.96 / $540.96 / $677.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.64 / $650.00 / $650.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.08 / $634.23 / $1,266.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.40 / $1,274.40 / $1,274.40