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South Carolina 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
$0.84 / $0.84 / $0.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.85 / $0.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.51 / $255.98 / $442.89
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $0.97 / $1.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $0.97 / $0.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00