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Maine 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
$501.19 / $501.19 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $30.20 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33