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New Mexico 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 / $540.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.40 / $920.40 / $920.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $60.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.08 / $542.08 / $677.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.40 / $2,250,000.00 / $2,400,000.00