| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $559.90 | $866.09 | $2,203.05 | |
Medica
| Facility | $650.24 | $1,169.61 | $1,489.50 | |
Midlands
| Facility | $821.68 | $1,260.83 | $1,495.23 |
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 |
|---|---|---|---|---|---|
Hally Health
| Professional | $559.90 | $866.09 | $2,203.05 | |
Medica
| Facility | $650.24 | $1,169.61 | $1,489.50 | |
Midlands
| Facility | $821.68 | $1,260.83 | $1,495.23 |