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California rates for HCPCS P9023

Plasma Pooled Multiple Donor Solvent/Detergent Treated Frozen Each Unit (Special Coverage Instructions Apply. See Mcm: 2455 B)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.85 / $0.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.98 / $1.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.04 / $1.80
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.21 / $109.64 / $209.99
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.29 / $56.29 / $56.29
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.31 / $5.31 / $6.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $250.75 / $250.75
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.62 / $141.37 / $141.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $0.87 / $1.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,400,000.00 / $2,400,000.00
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.94 / $1.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.30 / $113.83