| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $9.22 | $9.22 | $9.22 |
Sanford Health Plan
| Professional | 26 | $11.92 | $17.59 | $20.05 |
Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $9.22 | $9.22 | $9.22 |
Sanford Health Plan
| Professional | 26 | $11.92 | $17.59 | $20.05 |