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Arizona rates for HCPCS P9058

Red blood cells, leukocytes reduced, CMV-negative, irradiated, each unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.00 / $460.00 / $460.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.88 / $174.10 / $333.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.60 / $508.84 / $847.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.54 / $129.60 / $150.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.72 / $161.72 / $161.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.10 / $249.99 / $370.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.53 / $690.53 / $690.53