| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.28 | $99.45 | $106.19 | |
BCBS
| Facility | $164.03 | $284.27 | $467.01 | |
Cigna
| Professional | $39.60 | $39.60 | $39.60 | |
United
| Professional | $80.56 | $80.56 | $80.56 |
Platelets Irradiated Each Unit (Special Coverage Instructions Apply. See Mcm: 2455)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.28 | $99.45 | $106.19 | |
BCBS
| Facility | $164.03 | $284.27 | $467.01 | |
Cigna
| Professional | $39.60 | $39.60 | $39.60 | |
United
| Professional | $80.56 | $80.56 | $80.56 |