| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.29 | $16.29 | $16.29 | |
Aetna
| Professional | $16.29 | $16.29 | $248.71 | |
CareFirst
| Professional | $212.28 | $212.28 | $282.33 | |
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 | $16.29 | |
Aetna
| Professional | $16.29 | $16.29 | $248.71 | |
CareFirst
| Professional | $212.28 | $212.28 | $282.33 | |
Cigna
| Professional | $281.33 | $281.33 | $281.33 |