| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $483.76 | $747.81 | $1,163.10 | |
Medica
| Facility | $531.48 | $899.68 | $1,213.34 | |
Midlands
| Facility | $689.69 | $1,060.19 | $1,285.41 |
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 |
|---|---|---|---|---|---|
Hally Health
| Professional | $483.76 | $747.81 | $1,163.10 | |
Medica
| Facility | $531.48 | $899.68 | $1,213.34 | |
Midlands
| Facility | $689.69 | $1,060.19 | $1,285.41 |