| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.28 | $175.28 | $175.28 | |
Aetna
| Professional | $143.75 | $175.28 | $175.28 | |
BCBS
| Facility | $198.03 | $240.32 | $323.31 | |
Cigna
| Professional | $148.66 | $148.66 | $178.12 |
Platelets Leukocytes Reduced Each Unit (Special Coverage Instructions Apply. See Mcm: 2455)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.28 | $175.28 | $175.28 | |
Aetna
| Professional | $143.75 | $175.28 | $175.28 | |
BCBS
| Facility | $198.03 | $240.32 | $323.31 | |
Cigna
| Professional | $148.66 | $148.66 | $178.12 |