| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.52 | $29.52 | $29.52 | |
Aetna
| Professional | $29.52 | $29.52 | $30.60 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Injection, plasminogen, human-tvmh, 1 mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.52 | $29.52 | $29.52 | |
Aetna
| Professional | $29.52 | $29.52 | $30.60 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |