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South Carolina 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 / $432.25 / $432.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.88 / $174.10 / $174.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.30 / $1,109.13 / $1,799.37
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.10 / $177.58 / $368.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00