| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $799.76 | $799.76 | $799.76 | |
Aetna
| Professional | $82.00 | $293.39 | $332.53 | |
BCBS
| Facility | $310.55 | $549.13 | $785.63 | |
Cigna
| Professional | $147.34 | $147.34 | $147.34 |
Red Blood Cells Leukocytes Reduced Irradiated Each Unit (Special Coverage Instructions Apply. See Mcm: 2455)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $799.76 | $799.76 | $799.76 | |
Aetna
| Professional | $82.00 | $293.39 | $332.53 | |
BCBS
| Facility | $310.55 | $549.13 | $785.63 | |
Cigna
| Professional | $147.34 | $147.34 | $147.34 |