| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.03 | $6.03 | $6.03 | |
Medica
| Facility | $6.03 | $8.91 | $11.48 | |
Medica
| Professional | $16.22 | $16.22 | $16.22 |
Acetate 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 | |
Medica
| Facility | $6.03 | $8.91 | $11.48 | |
Medica
| Professional | $16.22 | $16.22 | $16.22 |