| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.00 | $4.00 | $4.00 | |
Medica
| Facility | $4.00 | $4.00 | $4.59 | |
Medica
| Professional | $72.45 | $72.45 | $72.45 |
"Y set" tubing for peritoneal dialysis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.00 | $4.00 | $4.00 | |
Medica
| Facility | $4.00 | $4.00 | $4.59 | |
Medica
| Professional | $72.45 | $72.45 | $72.45 |