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Texas 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 / $1,116.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.96 / $540.96 / $677.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.76 / $389.76 / $920.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.40 / $1,274.40 / $1,274.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.08 / $542.08 / $1,149.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.08 / $542.08 / $1,149.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,250,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.40 / $747.40 / $747.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.06 / $266.06 / $359.18