| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.79 | $379.60 | $1,330.80 | |
Aetna
| Professional | $3.50 | $80.61 | $91.98 | |
Cigna
| Professional | $67.45 | $67.45 | $67.45 | |
Horizon BCBS
| Facility | $248.37 | $338.75 | $652.04 |
Red Blood Cells Each Unit (Special Coverage Instructions Apply. See Mcm: 2455a)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.79 | $379.60 | $1,330.80 | |
Aetna
| Professional | $3.50 | $80.61 | $91.98 | |
Cigna
| Professional | $67.45 | $67.45 | $67.45 | |
Horizon BCBS
| Facility | $248.37 | $338.75 | $652.04 |