| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $636.45 | $650.97 | $682.12 | |
BCBS
| Facility | $714.64 | $714.64 | $3,234.25 | |
Cigna
| Facility | $691.08 | $691.08 | $691.08 |
End-stage renal disease (ESRD) related services for home dialysis per full month, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $636.45 | $650.97 | $682.12 | |
BCBS
| Facility | $714.64 | $714.64 | $3,234.25 | |
Cigna
| Facility | $691.08 | $691.08 | $691.08 |
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