| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.91 | $20.91 | $20.91 |
Sanford Health Plan
| Professional | 26 | $25.32 | $34.22 | $39.46 |
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 | $20.91 | $20.91 | $20.91 |
Sanford Health Plan
| Professional | 26 | $25.32 | $34.22 | $39.46 |