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Montana 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
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.72 / $161.72 / $161.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.10 / $174.10 / $505.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.72 / $1,800,000.00 / $2,400,000.00