| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.88 | $30.24 | $30.60 | |
Aetna
| Professional | $29.34 | $29.88 | $30.60 |
Injection, plasminogen, human-tvmh, 1 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.88 | $30.24 | $30.60 | |
Aetna
| Professional | $29.34 | $29.88 | $30.60 |
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