Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HB Plasma Depletion
64 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.
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| # | |||||
|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +24 other terms | 423 | $477.50 | $1,254 | $1.05 – $33,603 |
| 2 | UnitedHealthcare case rate · outpatient · +27 other terms | 420 | $1,629 | $1,809 | $1.00 – $22,403 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +24 other terms | 347 | $832.18 | $1,484 | $1.00 – $18,025 |
| 4 | Cigna case rate · outpatient · +22 other terms | 309 | $3,026 | $5,253 | $0.62 – $40,673 |
| 5 | Humana fee schedule · outpatient · +23 other terms | 284 | $441.72 | $693.84 | $1.10 – $12,772 |
| 6 | WellCare fee schedule · outpatient · +12 other terms | 150 | $453.39 | $565.02 | $161.69 – $4,297 |
| 7 | Molina fee schedule · outpatient · +19 other terms | 134 | $614.43 | $862.59 | $1.05 – $5,808 |
| 8 | Oscar case rate · outpatient · +16 other terms | 129 | $3,008 | $2,686 | $683.59 – $7,454 |
| 9 | Anthem fee schedule · outpatient · +21 other terms | 123 | $439.36 | $674.86 | $8.40 – $8,297 |
| 10 | Kaiser fee schedule · outpatient · +16 other terms | 93 | $638.60 | $931.61 | $396.33 – $4,297 |
| 11 | Ambetter facility · fee schedule · outpatient · +14 other terms | 81 | $837.84 | $990.12 | $406.13 – $8,200 |
| 12 | Devoted fee schedule · outpatient · +6 other terms | 69 | $450.12 | $449.78 | $410.33 – $493.92 |
| 13 | Healthcare Highways case rate · outpatient · +2 other terms | 55 | $2,434 | $2,605 | $2,047 – $3,436 |
| 14 | Optum fee schedule · outpatient · +19 other terms | 54 | $426.84 | $515.43 | $378.08 – $1,629 |
| 15 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948.00 | $934.71 | $656.84 – $948.00 |
| 16 | Bcbs Tx fee schedule · outpatient · +1 other terms | 32 | $569.68 | $592.21 | $302.67 – $1,610 |
| 17 | Caresource facility · fee schedule · outpatient · +9 other terms | 32 | $678.88 | $956.36 | $38.85 – $7,967 |
| 18 | Clover fee schedule · outpatient · +5 other terms | 31 | $488.11 | $873.10 | $398.21 – $4,380 |
| 19 | Medica case rate · outpatient · +18 other terms | 28 | $893.69 | $953.73 | $320.00 – $2,850 |
| 20 | Tricare fee schedule · outpatient · +13 other terms | 26 | $1,012 | $1,142 | $400.27 – $5,081 |
| 21 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +2 other terms | 25 | $560.07 | $558.31 | $421.02 – $732.45 |
| 22 | Bcbs La fee schedule · outpatient · +1 other terms | 25 | $1,401 | $1,403 | $286.54 – $2,581 |
| 23 | Medicare fee schedule · outpatient · +7 other terms | 24 | $441.72 | $880.99 | $397.00 – $4,172 |
| 24 | MultiPlan fee schedule · outpatient · +15 other terms | 24 | $696.11 | $699.95 | $410.50 – $1,250 |
| 25 | Highmark facility · fee schedule · outpatient · +10 other terms | 20 | $563.35 | $492.79 | $47.46 – $1,477 |
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