| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.71 | $248.71 | $248.71 | |
Aetna
| Professional | $248.71 | $248.71 | $248.71 | |
BCBS
| Professional | $641.27 | $755.56 | $826.98 | |
Medica
| Facility | $248.71 | $248.71 | $1,040.33 |
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 | $248.71 | $248.71 | |
Aetna
| Professional | $248.71 | $248.71 | $248.71 | |
BCBS
| Professional | $641.27 | $755.56 | $826.98 | |
Medica
| Facility | $248.71 | $248.71 | $1,040.33 |