| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $5.14 | $5.14 | |
Medica
| Facility | $4.37 | $7.71 | $9.51 | |
Medica
| Professional | $5.79 | $5.79 | $5.79 | |
United
| Professional | $68.73 | $68.73 | $84.10 |
Bicarbonate concentrate, powder, for hemodialysis, per packet
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1.00 | $5.14 | $5.14 | |
Medica
| Facility | $4.37 | $7.71 | $9.51 | |
Medica
| Professional | $5.79 | $5.79 | $5.79 | |
United
| Professional | $68.73 | $68.73 | $84.10 |