| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.03 | $85.03 | $85.03 | |
Aetna
| Professional | $85.03 | $85.03 | $197.44 | |
CareFirst
| Professional | $66.61 | $66.61 | $88.59 |
Platelets Each Unit (Special Coverage Instructions Apply. See Mcm: 2455 B)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.03 | $85.03 | $85.03 | |
Aetna
| Professional | $85.03 | $85.03 | $197.44 | |
CareFirst
| Professional | $66.61 | $66.61 | $88.59 |