| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $546.25 | $559.17 | $589.95 | |
BCBS
| Facility | $592.76 | $592.76 | $2,682.62 | |
Cigna
| Facility | $594.32 | $594.32 | $594.32 |
End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2-3 face-to-face visits by a physician or other qualified health care professional per month
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $546.25 | $559.17 | $589.95 | |
BCBS
| Facility | $592.76 | $592.76 | $2,682.62 | |
Cigna
| Facility | $594.32 | $594.32 | $594.32 |
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