| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.00 | $6.00 | $6.00 | |
Aetna
| Professional | $6.00 | $6.00 | $6.00 | |
Moda Health
| Facility | $6.00 | $6.12 | $7.68 | |
Molina
| Professional | $30.00 | $30.00 | $3,500.00 |
Bicarbonate concentrate, solution, for hemodialysis, per gallon
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.00 | $6.00 | $6.00 | |
Aetna
| Professional | $6.00 | $6.00 | $6.00 | |
Moda Health
| Facility | $6.00 | $6.12 | $7.68 | |
Molina
| Professional | $30.00 | $30.00 | $3,500.00 |