| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.14 | $19.05 | $19.05 | |
Anthem BCBS
| Professional | $9.77 | $17.38 | $30.20 |
Dialysate solution, any concentration of dextrose, fluid volume greater than 249 cc, but less than or equal to 999 cc, for peritoneal dialysis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.14 | $19.05 | $19.05 | |
Anthem BCBS
| Professional | $9.77 | $17.38 | $30.20 |