| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.98 | $5.01 | $5.01 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Medcost
| Facility | $4.37 | $5.13 | $8.71 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |
Bicarbonate concentrate, powder, for hemodialysis, per packet
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.98 | $5.01 | $5.01 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Medcost
| Facility | $4.37 | $5.13 | $8.71 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 |