| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.26 | $80.26 | $80.26 | |
Aetna
| Professional | $52.14 | $83.49 | $256.79 | |
Molina
| Professional | $30.00 | $30.00 | $60.00 | |
United
| Professional | $78.00 | $98.80 | $154.31 |
Therapeutic Ultrafiltration
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.26 | $80.26 | $80.26 | |
Aetna
| Professional | $52.14 | $83.49 | $256.79 | |
Molina
| Professional | $30.00 | $30.00 | $60.00 | |
United
| Professional | $78.00 | $98.80 | $154.31 |