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Maine 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 / $36.10 / $496.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $36.11 / $98.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.34 / $102.34 / $102.34
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.16 / $496.16 / $496.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $36.11 / $188.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.34 / $102.34 / $102.34