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South Carolina 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
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.54 / $1,745.05 / $2,705.03
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.08 / $569.17 / $1,011.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00