| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.80 | $28.80 | $28.80 | |
Aetna
| Professional | $28.80 | $28.80 | $36.00 | |
Quartz
| Facility | $159.00 | $159.00 | $159.00 |
Plasminogen, Human-Tvmh 1 Mg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.80 | $28.80 | $28.80 | |
Aetna
| Professional | $28.80 | $28.80 | $36.00 | |
Quartz
| Facility | $159.00 | $159.00 | $159.00 |