| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.60 | $9.60 | $9.60 | |
United
| Professional | $1.35 | $1.70 | $1.70 |
Travel Allowance One Way In Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Miles Actually Travelled. (Special Coverage Instructions Apply. See Mcm: 51141k)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9.60 | $9.60 | $9.60 | |
United
| Professional | $1.35 | $1.70 | $1.70 |