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Indiana 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
$36.11 / $292.48 / $5,663.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $36.11 / $72.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $57.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $40.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.35 / $132.06 / $165.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.05 / $152.81 / $191.02
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.43 / $67.43 / $67.43