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Oklahoma 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
$89.88 / $174.10 / $253.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,940.71 / $3,034.83 / $4,722.57
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 / $174.10 / $248.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.53 / $690.53 / $690.53