| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $357.51 | $696.50 | $1,074.59 | |
Aetna
| Professional | $23.00 | $212.35 | $317.60 | |
BCBS
| Facility | $247.70 | $393.26 | $541.13 | |
Cigna
| Professional | $116.76 | $116.76 | $116.76 |
Red Blood Cells Leukocytes Reduced Each Unit (Special Coverage Instructions Apply. See Mcm: 2455 B)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $357.51 | $696.50 | $1,074.59 | |
Aetna
| Professional | $23.00 | $212.35 | $317.60 | |
BCBS
| Facility | $247.70 | $393.26 | $541.13 | |
Cigna
| Professional | $116.76 | $116.76 | $116.76 |