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Louisiana 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
$36.10 / $36.11 / $672.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $36.11 / $81.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.41 / $145.69 / $211.11
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
Professional
Modifier
Low / Median / High Price
$41.12 / $41.12 / $102.34