go back

New Hampshire 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
$333.70 / $333.70 / $400.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.88 / $333.70 / $370.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.81 / $249.99 / $249.99
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
$229.29 / $229.29 / $249.23