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Arizona 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
$72.77 / $386.10 / $987.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $36.11 / $81.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.60 / $163.33 / $272.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.84 / $41.60 / $48.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $21.70 / $21.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.95 / $72.34 / $106.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.21 / $144.21 / $144.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.43 / $67.43 / $67.43