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Rhode Island 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
$248.70 / $248.70 / $257.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $43.60 / $98.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.35 / $164.15 / $213.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $21.70 / $21.70