| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $412.43 | $412.43 | $412.43 | |
Aetna
| Professional | $412.43 | $412.43 | $412.43 | |
Medica
| Facility | $412.43 | $416.55 | $552.66 | |
Medica
| Professional | $168.32 | $168.32 | $168.32 |
Platelets, leukocytes reduced, irradiated, each unit
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $412.43 | $412.43 | $412.43 | |
Aetna
| Professional | $412.43 | $412.43 | $412.43 | |
Medica
| Facility | $412.43 | $416.55 | $552.66 | |
Medica
| Professional | $168.32 | $168.32 | $168.32 |