| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $12.79 | $30.95 | $38.68 |
Medica
| Facility | 26 | $24.59 | $100.00 | $100.00 |
Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $12.79 | $30.95 | $38.68 |
Medica
| Facility | 26 | $24.59 | $100.00 | $100.00 |