| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.85 | $0.87 | $0.87 |
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 | $0.85 | $0.87 | $0.87 |