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Alaska rates for HCPCS P9017

Fresh Frozen Plasma (Single Donor) Frozen Within 8 Hours Of Collection Each Unit. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.86 / $725.69 / $1,845.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $36.11 / $36.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $21.70 / $21.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.95 / $64.95 / $188.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.95 / $64.95 / $188.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $21.70 / $2,400,000.00