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New Hampshire 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
$85.17 / $188.32 / $1,026.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $36.11 / $225.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
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 / $254.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.34 / $102.34 / $102.34
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $3,000.00 / $4,410.00