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Maine 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
Professional
Modifier
Low / Median / High Price
$0.84 / $0.87 / $1.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $2.63 / $2.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.86 / $0.95
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.91 / $133.91 / $133.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $0.87 / $1.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.91 / $133.91 / $133.91