| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.87 | $0.87 | $0.87 | |
Aetna
| Professional | $0.82 | $0.85 | $1.00 | |
Horizon BCBS
| Facility | $104.17 | $122.25 | $264.35 | |
Horizon BCBS
| Professional | $135.00 | $135.00 | $135.00 |
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
| Facility | $0.87 | $0.87 | $0.87 | |
Aetna
| Professional | $0.82 | $0.85 | $1.00 | |
Horizon BCBS
| Facility | $104.17 | $122.25 | $264.35 | |
Horizon BCBS
| Professional | $135.00 | $135.00 | $135.00 |