Blood Collectors Pricing Survey

Please indicate in the spaces provided the price that your blood bank currently charges for the following blood and blood-related services. If you do not provide a particular service, please leave the space blank.

Your input is appreciated and is essential to ensure accurate pricing for blood-products provided to End-Stage Renal Disease (ESRD) facilities.

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* 1. Name of Blood Bank

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* 2. Address of Blood Bank

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* 3. Contact Name

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* 4. Contact Email Address

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* 5. Medicare Jurisdiction

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* 6. For each Blood/Blood-Related Service and HCPC Code, provide the price charged.

P9010 Blood (Whole), for transfusion, per unit

P9011 Blood, (Split Unit)

P9012 Cryoprecipitate (each unit)

P9016 Red blood cells, Leukocytes reduced, each unit

P9017 Fresh frozen plasma, (Single Donor), frozen within 8 hours of collection, (each unit)

P9019 Platelets, each unit

P9020 Platelet rich plasma (each unit)

P9021 Red blood cells (each unit)

P9022 Red blood cells, washed, (each unit)

P9023 Plasma, pooled multiple donor, solvent/detergent treated, frozen, (each unit)

P9031 Platelets, leukocytes reduced (each unit)

P9032 Platelets, irradiated (each unit)

P9033 Platelets, leukocytes reduced, irradiated (each unit)

P9034 Platelets, pheresis (each unit)

P9035 Platelets, pheresis, leukocytes reduced, (each unit)

P9036 Platelets, pheresis, irradiated, (each unit)

P9037 Platelets, pheresis, leukocytes reduced, irradiated, (each unit)

P9038 Red blood cells, irradiated (each unit)

P9039 Red blood cells, deglycerolized, (each unit)

P9040 Red blood cells, leukocytes reduced, irradiated, (each unit)

P9044 Plasma, cryoprecipitate reduced, (each unit)

P9050 Granulocytes, pheresis, (each unit)

P9051 Whole blood or red blood cells, leukocytes reduced, CMV-negative, (each unit)

P9052 Platelets, HLA-matched leukocytes reduced, apheresis/pheresis, (each unit)

P9053 Platelets, pheresis, leukocytes reduced, CMV-negative, irradiated, (each unit)

P9054 Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, (each unit)

P9055 Platelets, leukocytes reduced, CMV-negative, apheresis/pheresis, (each unit)

P9056 Whole blood, leukocytes reduced, irradiated, (each unit)

P9057 Red blood cells, frozen/deglycerolized/washed, Leukocytes reduced, irradiated, (each unit)

P9058 Red blood cells, leukocytes reduced, CMV-negative, irradiated, (each unit)

P9059 Fresh frozen plasma between 8-24 hours of collection, (each unit)

P9060 Fresh frozen plasma, donor retested, (each unit)

P9070 Plasma, pooled multiple donor; pathogen reduced, frozen, each unit

P9071 Plasma (single donor), pathogen reduced, frozen each unit

P9073 Platelets, pheresis, pathogen-reduced, each unit

P9100 Pathogen(s) test for platelets

86850 Antibody Screen, RBC, each serum technique

86860 Antibody Elution, RBC, each elution

86870 Antibody identification, RBC antibodies, each panel for each serum technique

86880 Antihuman Globulin Test, (Coombs Test), Direct, Each Antiserum

 86885  Indirect, Qualitative, Each Regent Red Cell

 86886  Indirect, Each Antibody Titer

86890 Autologous Blood or Component, Collection Processing and Storage, Predeposited

 86891  Intra-or Postoperative Salvage

86900 Blood Typing, Serologic; ABO

 86901  Blood Typing, RH (D)

 86902  Blood Typing, antigen testing of donor blood using reagent serum, each antigen test

86904 Blood Typing, Antigen Screening for Compatible Unit using Patient Serum, Per Unit Screened

86905 Blood Typing, RBC Antigens, Other Than ABO or RH (D), each

86906 Blood Typing, RH Phenotyping, Complete

86920 Compatibility Test each unit, Immediate Spin Technique

 86921  Incubation Technique

 86922  Antiglobulin Technique

 86923  Electronic

86927 Fresh Frozen Plasma, thawing, Each Unit

86930 Frozen Blood, each unit, Freezing (Includes Preparation)

 86931  Thawing

 86932  Freezing (includes preparation) and thawing

86945 Irradiation of blood product, Each Unit

86950 Leukocyte transfusion

86960 Volume reduction of blood or blood product (e.g. red blood cells or platelets), each unit

86965 Pooling of Platelets or Other Blood Products

86970 Pretreatment of RBCs for use in RBC Antibody detection, identification, and/or Compatibility Testing, Incubation with Chemical Agents or Drugs, Each

 86971  Incubation with enzymes, each

 86972  By Density Gradient Separation

86975 Pretreatment of Serum for use in RBC Antibody Identification, Incubation with Drugs, Each

 86976  By Dilution

 86977  Incubation with Inhibitors, Each

 86978  By Differential red cell absorption using Patient RBCs or RBCs of Known Phenotype, Each Absorption

86985 Splitting of Blood or Blood Products, Each Unit