| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $585.04 | $585.04 | $585.04 | |
Aetna
| Professional | $585.04 | $585.04 | $603.50 | |
BCBS
| Facility | $497.70 | $603.98 | $812.55 | |
United
| Professional | $477.97 | $477.97 | $477.97 |
Platelets Pheresis Irradiated Each Unit (Special Coverage Instructions Apply. See Mcm: 2455)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $585.04 | $585.04 | $585.04 | |
Aetna
| Professional | $585.04 | $585.04 | $603.50 | |
BCBS
| Facility | $497.70 | $603.98 | $812.55 | |
United
| Professional | $477.97 | $477.97 | $477.97 |