| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $197.44 | $197.44 | $197.44 | |
Aetna
| Professional | $85.03 | $197.44 | $197.44 | |
BCBS
| Facility | $79.59 | $79.59 | $79.59 | |
Cigna
| Facility | $99.72 | $99.72 | $99.72 |
Platelets Each Unit (Special Coverage Instructions Apply. See Mcm: 2455 B)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $197.44 | $197.44 | $197.44 | |
Aetna
| Professional | $85.03 | $197.44 | $197.44 | |
BCBS
| Facility | $79.59 | $79.59 | $79.59 | |
Cigna
| Facility | $99.72 | $99.72 | $99.72 |