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North Carolina 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
$36.11 / $71.44 / $275.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $36.11 / $72.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.76 / $117.55 / $117.55
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.95 / $64.95 / $170.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.43 / $67.43 / $67.43
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $225.16
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.85 / $136.85 / $144.21