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Washington 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 / $946.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.88 / $174.10 / $253.70
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.17 / $747.08 / $1,391.69
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.48 / $650.00 / $1,012.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.72 / $161.72 / $161.72
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.99 / $743.43 / $1,260.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $100.00 / $100.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.00 / $614.00 / $79,999.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.48 / $733.08 / $1,376.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.67 / $269.67 / $269.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.69 / $137.69 / $248.99