| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.03 | $85.03 | $197.44 | |
CareFirst
| Professional | $66.61 | $66.61 | $109.91 | |
Cigna
| Facility | $130.90 | $130.90 | $130.90 | |
Cigna
| Professional | $75.23 | $75.23 | $660.00 |
Platelets Each Unit (Special Coverage Instructions Apply. See Mcm: 2455 B)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.03 | $85.03 | $197.44 | |
CareFirst
| Professional | $66.61 | $66.61 | $109.91 | |
Cigna
| Facility | $130.90 | $130.90 | $130.90 | |
Cigna
| Professional | $75.23 | $75.23 | $660.00 |