| 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 | |
Anthem BCBS
| Professional | $73.36 | $90.42 | $104.41 |
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 | |
Anthem BCBS
| Professional | $73.36 | $90.42 | $104.41 |