| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.28 | $58.28 | $58.28 | |
Aetna
| Professional | $58.28 | $58.28 | $58.28 | |
Medica
| Facility | $58.28 | $63.53 | $93.25 | |
Medica
| Professional | $178.61 | $178.61 | $178.61 |
Platelets, irradiated, each unit
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.28 | $58.28 | $58.28 | |
Aetna
| Professional | $58.28 | $58.28 | $58.28 | |
Medica
| Facility | $58.28 | $63.53 | $93.25 | |
Medica
| Professional | $178.61 | $178.61 | $178.61 |