| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $429.48 | $429.48 | $429.48 | |
Aetna
| Professional | $176.65 | $412.43 | $429.48 | |
BCBS
| Facility | $276.58 | $276.58 | $276.58 | |
Cigna
| Facility | $197.54 | $197.54 | $197.54 |
Platelets Leukocytes Reduced Irradiated Each Unit (Special Coverage Instructions Apply. See Mcm: 2455)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $429.48 | $429.48 | $429.48 | |
Aetna
| Professional | $176.65 | $412.43 | $429.48 | |
BCBS
| Facility | $276.58 | $276.58 | $276.58 | |
Cigna
| Facility | $197.54 | $197.54 | $197.54 |