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Michigan 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
$174.10 / $174.10 / $253.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.37 / $626.44 / $1,210.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.95 / $218.79 / $260.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.72 / $161.72 / $161.72
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.10 / $274.77 / $274.77
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.10 / $274.77 / $336.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.67 / $269.67 / $269.67