| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $197.44 | $197.44 | $197.44 | |
Aetna
| Professional | $85.03 | $85.03 | $197.44 | |
BCBS
| Professional | $74.51 | $87.79 | $96.09 | |
Medica
| Facility | $157.94 | $197.44 | $335.65 |
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 | $85.03 | $197.44 | |
BCBS
| Professional | $74.51 | $87.79 | $96.09 | |
Medica
| Facility | $157.94 | $197.44 | $335.65 |