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Michigan 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 / $84.29 / $261.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $36.11 / $72.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.30 / $236.93 / $457.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.87 / $82.75 / $98.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $21.70 / $21.70
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.10 / $76.38 / $261.74
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $74.84 / $93.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.43 / $67.43 / $67.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.29 / $79.29 / $79.29