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Massachusetts 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
$22.97 / $22.97 / $22.97
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.87 / $20.50 / $100.88
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.48 / $22.52 / $37.22
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.60 / $19.60 / $23.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.97 / $22.97 / $47.70
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $187.56
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.52 / $22.52 / $33.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.52 / $22.52 / $31.53