| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $711.90 | $711.90 | $711.90 | |
BCBS
| Facility | $896.86 | $896.86 | $896.86 | |
Health Alliance Plan
| Facility | $532.65 | $532.65 | $711.90 |
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 | $711.90 | $711.90 | $711.90 | |
BCBS
| Facility | $896.86 | $896.86 | $896.86 | |
Health Alliance Plan
| Facility | $532.65 | $532.65 | $711.90 |