| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.03 | $6.03 | $6.03 | |
Aetna
| Professional | $6.03 | $6.03 | $6.03 | |
Molina
| Professional | $30.20 | $44.67 | $60.26 |
Acetate concentrate solution, for hemodialysis, per gallon
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.03 | $6.03 | $6.03 | |
Aetna
| Professional | $6.03 | $6.03 | $6.03 | |
Molina
| Professional | $30.20 | $44.67 | $60.26 |