| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Facility | $3,182.00 | $71,499.28 | $71,499.28 | |
Fidelis
| Facility | $778.39 | $778.39 | $778.39 |
Blood and Blood Components-Other Derivatives (Cryoprecipitates))
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Facility | $3,182.00 | $71,499.28 | $71,499.28 | |
Fidelis
| Facility | $778.39 | $778.39 | $778.39 |