| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1,695.15 | $1,695.15 | $1,695.15 | |
Medica
| Facility | $556.86 | $888.27 | $1,213.34 | |
Midlands
| Facility | $898.00 | $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 |
|---|---|---|---|---|---|
BCBS
| Facility | $1,695.15 | $1,695.15 | $1,695.15 | |
Medica
| Facility | $556.86 | $888.27 | $1,213.34 | |
Midlands
| Facility | $898.00 | $1,260.83 | $1,495.23 |