| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $287.08 | $287.08 | $287.08 | |
Aetna
| Professional | $248.71 | $248.71 | $303.01 | |
Horizon BCBS
| Facility | $540.09 | $1,089.13 | $1,534.46 |
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 | $287.08 | $287.08 | $287.08 | |
Aetna
| Professional | $248.71 | $248.71 | $303.01 | |
Horizon BCBS
| Facility | $540.09 | $1,089.13 | $1,534.46 |