go back

Nebraska 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 / $606.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.10 / $174.10 / $370.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.14 / $461.85 / $893.37
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 / $271.41 / $330.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.53 / $690.53 / $690.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.58 / $265.42 / $265.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.71 / $252.58 / $265.42