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Pennsylvania 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
$0.87 / $0.87 / $0.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.87 / $0.87
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.16 / $49.98 / $49.98
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $0.87 / $0.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.87 / $1.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.29 / $56.29 / $56.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.91 / $133.91 / $133.91