| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.00 | $6.00 | $6.00 | |
BCBS
| Professional | $17.00 | $17.00 | $17.00 | |
Cigna
| Professional | $16.00 | $16.00 | $27.19 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 |
Bicarbonate concentrate, solution, for hemodialysis, per gallon
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.00 | $6.00 | $6.00 | |
BCBS
| Professional | $17.00 | $17.00 | $17.00 | |
Cigna
| Professional | $16.00 | $16.00 | $27.19 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 |