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Maine 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 / $333.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.99 / $249.99 / $650.00
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.23 / $249.23 / $249.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.88 / $174.10 / $333.70