| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $308.72 | $308.72 | $308.72 | |
Aetna
| Professional | $308.72 | $308.72 | $308.72 | |
Medica
| Facility | $455.42 | $469.08 | $664.37 | |
Medica
| Professional | $837.48 | $837.48 | $837.48 |
Platelets Pheresis Each Unit (Special Coverage Instructions Apply. See Mcm: 2455)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $308.72 | $308.72 | $308.72 | |
Aetna
| Professional | $308.72 | $308.72 | $308.72 | |
Medica
| Facility | $455.42 | $469.08 | $664.37 | |
Medica
| Professional | $837.48 | $837.48 | $837.48 |