| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $571.75 | $1,101.84 | $1,382.46 | |
Midlands
| Facility | $821.68 | $1,260.83 | $1,495.23 | |
Sanford Health Plan
| Professional | $662.36 | $892.93 | $1,165.07 |
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 |
|---|---|---|---|---|---|
Medica
| Facility | $571.75 | $1,101.84 | $1,382.46 | |
Midlands
| Facility | $821.68 | $1,260.83 | $1,495.23 | |
Sanford Health Plan
| Professional | $662.36 | $892.93 | $1,165.07 |