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Pennsylvania 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 / $316.83 / $2,033.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $36.11 / $81.19
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.16 / $49.98 / $49.98
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.51 / $307.76 / $641.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.11 / $473.76 / $2,033.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $36.11 / $81.19
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.11 / $190.11 / $190.11
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $21.70 / $21.70
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.85 / $54.85 / $54.85
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.85 / $54.85 / $54.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.29 / $79.29 / $79.29