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Utah 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
$876.05 / $876.05 / $876.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.04 / $540.96 / $876.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.36 / $980.47 / $1,428.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.40 / $747.40 / $747.40