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Louisiana 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
$174.10 / $174.10 / $174.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.90 / $174.10 / $253.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.58 / $443.10 / $654.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.72 / $161.72 / $161.72