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Missouri 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
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.81 / $650.00 / $650.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.72 / $161.72 / $161.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.10 / $196.73 / $406.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.53 / $690.53 / $690.53