| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.06 | $80.06 | $80.06 | |
Aetna
| Professional | $80.06 | $80.06 | $80.06 | |
United
| Professional | $40.28 | $40.28 | $40.28 |
Plasma Cryoprecipitate Reduced Each Unit (Special Coverage Instructions Apply. See Mcm: 2455.B)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.06 | $80.06 | $80.06 | |
Aetna
| Professional | $80.06 | $80.06 | $80.06 | |
United
| Professional | $40.28 | $40.28 | $40.28 |