| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.82 | $0.87 | $0.87 | |
CareFirst
| Professional | $64.80 | $64.80 | $106.92 | |
Cigna
| Facility | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $2.38 | $2.38 | $56.29 |
Plasma Pooled Multiple Donor Solvent/Detergent Treated Frozen Each Unit (Special Coverage Instructions Apply. See Mcm: 2455 B)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.82 | $0.87 | $0.87 | |
CareFirst
| Professional | $64.80 | $64.80 | $106.92 | |
Cigna
| Facility | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $2.38 | $2.38 | $56.29 |