| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $143.75 | $163.77 | $175.28 | |
Cigna
| Professional | $148.66 | $148.66 | $178.12 | |
MVP Health Care
| 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
| Professional | $143.75 | $163.77 | $175.28 | |
Cigna
| Professional | $148.66 | $148.66 | $178.12 | |
MVP Health Care
| Professional | $148.66 | $148.66 | $178.12 |