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New Mexico 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
$0.97 / $0.97 / $0.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.85 / $0.97
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.10 / $60.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $0.85 / $1.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.29 / $2,250,000.00 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.91 / $133.91 / $133.91