go back

Indiana rates for HCPCS P9017

Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit

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