| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $7.78 | $7.78 | $7.78 |
Medcost
| Facility | 26 | $15.78 | $19.00 | $33.51 |
Plasma Vol Radiopharm Vol Dilute Spx Mult Smples
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $7.78 | $7.78 | $7.78 |
Medcost
| Facility | 26 | $15.78 | $19.00 | $33.51 |