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Hawaii rates for HCPCS P9058

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.88 / $174.10 / $253.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.72 / $161.72 / $161.72
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.33 / $292.49 / $292.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.00 / $670.00 / $670.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.22 / $269.67 / $269.67