| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.29 | $16.29 | $882.00 | |
Aetna
| Professional | $16.29 | $16.29 | $159.02 | |
BCBS
| Facility | $198.03 | $240.32 | $323.31 | |
Cigna
| Professional | $281.33 | $281.33 | $281.33 |
Red Blood Cells Irradiated Each Unit (Special Coverage Instructions Apply. See Mcm: 2455)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.29 | $16.29 | $882.00 | |
Aetna
| Professional | $16.29 | $16.29 | $159.02 | |
BCBS
| Facility | $198.03 | $240.32 | $323.31 | |
Cigna
| Professional | $281.33 | $281.33 | $281.33 |