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Wisconsin 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
$537.03 / $537.03 / $537.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $676.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $363.08 / $870.96
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $870.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $933.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $1,288.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,445.44