go back

New Jersey 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
$280.58 / $280.58 / $934.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.88 / $174.10 / $370.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.72 / $161.72 / $161.72
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.54 / $419.87 / $816.56
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $10.00 / $10.00