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Washington 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 / $876.05
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.09 / $1,465.44 / $2,835.05
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.84 / $650.00 / $1,275.34
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.06 / $1,045.33 / $1,856.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $100.00 / $100.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.00 / $1,251.00 / $79,999.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$949.55 / $1,432.92 / $2,803.22
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 / $266.06