| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.03 | $278.77 | $278.77 | |
Cigna
| Professional | $126.75 | $126.75 | $126.75 | |
MVP Health Care
| Professional | $126.75 | $126.75 | $126.75 |
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 | $278.77 | $278.77 | |
Cigna
| Professional | $126.75 | $126.75 | $126.75 | |
MVP Health Care
| Professional | $126.75 | $126.75 | $126.75 |