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Massachusetts 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
$4.50 / $4.50 / $464.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $36.11 / $98.79
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $106.02 / $228.19
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.00 / $33.60 / $42.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.80 / $112.88 / $204.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $21.70 / $21.70
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.64 / $3,472.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.34 / $102.34 / $107.46
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.34 / $194.34 / $194.34
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.21 / $144.21 / $144.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.34 / $102.34 / $107.46