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Texas 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 / $144.16 / $536.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $36.11 / $72.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.80 / $6.80 / $6.80
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $225.16 / $225.16
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.21 / $144.21 / $144.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.95 / $64.95 / $146.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.95 / $64.95 / $146.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $21.70 / $21.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.43 / $67.43 / $72.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.29 / $79.29 / $79.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $79.87 / $107.82