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Iowa 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
$174.10 / $174.10 / $249.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.72 / $161.72 / $265.42
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.85 / $1,614.22 / $2,016.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.10 / $271.41 / $572.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.20 / $252.58 / $690.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.58 / $265.42 / $265.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.20 / $252.58 / $265.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.06 / $222.86 / $222.86