| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.71 | $601.87 | $1,122.78 | |
Aetna
| Professional | $248.71 | $248.71 | $248.71 | |
CareFirst
| Professional | $371.92 | $371.92 | $494.65 |
Red Blood Cells Deglycerolized Each Unit (Special Coverage Instructions Apply. See Mcm: 2455)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.71 | $601.87 | $1,122.78 | |
Aetna
| Professional | $248.71 | $248.71 | $248.71 | |
CareFirst
| Professional | $371.92 | $371.92 | $494.65 |