| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medical Mutual of Ohio
| Professional | $100.93 | $387.99 | $488.92 |
Kinetics Platelet W/Wo Diffrntl Organ/Tis Loclzj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medical Mutual of Ohio
| Professional | $100.93 | $387.99 | $488.92 |