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Idaho rates for HCPCS P9043

Infusion Plasma Protein Fraction (Human) 5% 50 Ml (Special Coverage Instructions Apply. See Mcm: 2455b)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.97 / $22.97 / $22.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.62 / $22.97 / $23.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.97 / $22.97 / $22.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.97 / $22.97 / $22.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.39 / $23.24 / $33.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.19 / $23.07 / $23.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.50 / $22.17 / $33.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.52 / $22.52 / $31.53