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Michigan 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 / $21.62 / $67.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.62 / $21.62 / $21.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.89 / $77.34 / $148.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.97 / $22.97 / $22.97
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.36 / $27.02 / $60.16
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.62 / $22.97 / $27.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.52 / $22.52 / $23.89