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South 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 / $182.33 / $382.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $36.11 / $36.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.38 / $282.33 / $458.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.50 / $73.50 / $73.50
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 / $81.19 / $2,465.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,465.00 / $2,465.00 / $2,465.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $75.02 / $3,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.43 / $67.43 / $72.22