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Utah 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
$98.79 / $98.79 / $918.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $52.61 / $98.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $21.70 / $21.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.54 / $161.52 / $231.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.29 / $79.29 / $79.29