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Maryland 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 / $26.92
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.62 / $21.62 / $21.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.97 / $22.97 / $22.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.65 / $17.00 / $21.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.52 / $22.52 / $27.01