| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $8.61 | $16.17 | $31.41 |
Hally Health
| Professional | 26 | $10.96 | $16.02 | $70.64 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Plasma Vol Radiopharm Vol Dilute Spx Mult Smples
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $8.61 | $16.17 | $31.41 |
Hally Health
| Professional | 26 | $10.96 | $16.02 | $70.64 |
Hally Health
| Facility | 26 | $100.00 | $100.00 | $100.00 |