| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.01 | $5.01 | $5.01 | |
Aetna
| Professional | $4.37 | $5.01 | $5.13 | |
Anthem BCBS
| Professional | $10.00 | $10.00 | $10.00 |
Bicarbonate concentrate, powder, for hemodialysis, per packet
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.01 | $5.01 | $5.01 | |
Aetna
| Professional | $4.37 | $5.01 | $5.13 | |
Anthem BCBS
| Professional | $10.00 | $10.00 | $10.00 |