| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $10.87 | $10.87 | $10.87 |
Health Alliance Plan
| Facility | 26 | $7.87 | $7.87 | $10.87 |
Plasma Vol Radiopharm Vol Dilute Spx Mult Smples
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $10.87 | $10.87 | $10.87 |
Health Alliance Plan
| Facility | 26 | $7.87 | $7.87 | $10.87 |