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Maine rates for HCPCS P9043

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.97 / $22.97 / $22.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.63 / $69.63 / $69.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.46 / $14.46 / $14.60
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.97 / $22.97 / $27.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.97 / $22.97 / $22.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.05 / $22.52 / $32.65