| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $617.41 | $617.41 | $617.41 | |
Aetna
| Professional | $327.06 | $513.41 | $798.38 | |
Cigna
| Professional | $291.51 | $291.51 | $291.51 |
Platelets Pheresis Leukocytes Reduced Each Unit (Special Coverage Instructions Apply. See Mcm: 2455)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $617.41 | $617.41 | $617.41 | |
Aetna
| Professional | $327.06 | $513.41 | $798.38 | |
Cigna
| Professional | $291.51 | $291.51 | $291.51 |