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California 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
$43.53 / $67.73 / $194.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $36.11 / $81.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.00 / $1,294.00 / $1,610.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $122.88 / $222.40
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.70 / $78.75 / $167.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.11 / $190.11 / $190.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $21.70 / $21.70
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.03 / $67.03 / $80.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.73 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $225.16
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.21 / $144.21 / $144.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.53 / $64.95 / $97.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $21.70 / $104.15
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.03 / $73.73 / $113.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $79.29 / $79.29