| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $32.36 | $41.69 | |
Cigna
| Professional | $36.31 | $36.31 | $39.81 | |
Molina
| Professional | $19.95 | $25.12 | $67.61 | |
United
| Professional | $19.05 | $24.55 | $50.12 |
Activated carbon filter for hemodialysis, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.95 | $32.36 | $41.69 | |
Cigna
| Professional | $36.31 | $36.31 | $39.81 | |
Molina
| Professional | $19.95 | $25.12 | $67.61 | |
United
| Professional | $19.05 | $24.55 | $50.12 |