| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,126.35 | $4,126.35 | $4,126.35 | |
Moda Health
| Facility | $495.65 | $1,178.96 | $1,847.68 | |
Providence
| Facility | $495.65 | $1,178.96 | $1,847.68 |
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 | $4,126.35 | $4,126.35 | $4,126.35 | |
Moda Health
| Facility | $495.65 | $1,178.96 | $1,847.68 | |
Providence
| Facility | $495.65 | $1,178.96 | $1,847.68 |