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Texas 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 / $22.16 / $46.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.62 / $22.16 / $23.93
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $187.56 / $187.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $22.16 / $34.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.84 / $12.84 / $20.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.21 / $22.97 / $31.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.27 / $22.97 / $22.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.52 / $22.52 / $22.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.46 / $14.46 / $19.52