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Nebraska 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
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.14 / $461.85 / $893.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.08 / $718.52 / $1,029.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.40 / $1,274.40 / $1,274.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.96 / $163.33 / $163.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.25 / $155.65 / $163.33