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Pennsylvania 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 / $898.43 / $1,503.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.65 / $174.10 / $280.58
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.08 / $203.48 / $203.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.72 / $161.72 / $161.72
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.92 / $473.62 / $514.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.09 / $898.43 / $1,503.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.88 / $174.10 / $280.58
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.72 / $161.72 / $161.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.67 / $269.67 / $269.67