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Indiana 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
$21.62 / $54.05 / $97.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.62 / $21.62 / $21.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.28 / $45.04 / $67.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $9.57 / $12.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.18 / $16.29 / $28.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.53 / $15.04 / $18.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.97 / $22.97 / $22.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $22.97 / $63.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.52 / $22.52 / $27.92