| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $197.44 | $197.44 | $197.44 | |
Aetna
| Professional | $85.03 | $166.47 | $197.44 | |
Anthem BCBS
| Professional | $57.09 | $76.12 | $500.00 |
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 | $166.47 | $197.44 | |
Anthem BCBS
| Professional | $57.09 | $76.12 | $500.00 |