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Nebraska 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 / $178.48 / $356.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $36.11 / $72.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.14 / $461.85 / $893.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.00 / $116.00 / $116.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $21.70 / $21.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.95 / $107.17 / $126.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.21 / $144.21 / $144.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.36 / $160.93 / $160.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.97 / $152.15 / $160.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.43 / $67.43 / $72.22