| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $10.45 | $12.80 | $21.07 |
Medica
| Facility | 26 | $24.59 | $24.59 | $24.59 |
Plasma Vol Radiopharm Vol Dilute Spx Mult Smples
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $10.45 | $12.80 | $21.07 |
Medica
| Facility | 26 | $24.59 | $24.59 | $24.59 |