go back

Oregon 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
$174.09 / $174.09 / $249.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.10 / $174.10 / $253.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.72 / $161.72 / $161.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.00 / $170.00 / $178.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.10 / $174.10 / $374.32
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.86 / $79,999.20 / $79,999.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.10 / $174.10 / $374.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.72 / $2,250,000.00 / $2,400,000.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$684.68 / $898.54 / $1,019.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.67 / $269.67 / $269.67