go back

Massachusetts 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
$370.91 / $370.91 / $370.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.88 / $174.10 / $370.91
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $582.79 / $670.09
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.53 / $690.53 / $690.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.72 / $161.72 / $161.72
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $3,472.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.29 / $240.75 / $249.23
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.53 / $690.53 / $690.53