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Vermont 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
Professional
Modifier
Low / Median / High Price
$4.50 / $98.79 / $188.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.73 / $355.73 / $355.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.70 / $374.70 / $374.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $21.70 / $21.70
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.70 / $374.70 / $374.70
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $21.70 / $21.70