| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.03 | $6.03 | $6.03 | |
Anthem BCBS
| Professional | $15.14 | $15.14 | $17.38 | |
Medica
| Facility | $6.03 | $6.31 | $13.49 | |
Medica
| Professional | $20.89 | $20.89 | $20.89 |
Bicarbonate concentrate, solution, for hemodialysis, per gallon
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.03 | $6.03 | $6.03 | |
Anthem BCBS
| Professional | $15.14 | $15.14 | $17.38 | |
Medica
| Facility | $6.03 | $6.31 | $13.49 | |
Medica
| Professional | $20.89 | $20.89 | $20.89 |