| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $9.98 | $53.54 | $90.25 |
Cigna
| Facility | 26 | $49.20 | $49.20 | $49.20 |
Medica
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Midlands
| Facility | 26 | $32.11 | $33.04 | $49.20 |
Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $9.98 | $53.54 | $90.25 |
Cigna
| Facility | 26 | $49.20 | $49.20 | $49.20 |
Medica
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Midlands
| Facility | 26 | $32.11 | $33.04 | $49.20 |