| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $24.36 | $24.36 | $24.36 |
Health Alliance Plan
| Facility | 26 | $16.32 | $16.32 | $24.36 |
Whole blood volume determination, including separate measurement of plasma volume and red cell volume (radiopharmaceutical volume-dilution technique)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $24.36 | $24.36 | $24.36 |
Health Alliance Plan
| Facility | 26 | $16.32 | $16.32 | $24.36 |