| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.06 | $80.06 | $90.65 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $39.60 | $39.60 | $101.34 |
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
| Professional | $80.06 | $80.06 | $90.65 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $39.60 | $39.60 | $101.34 |