| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.00 | $19.67 | $19.67 | |
Providence
| Facility | $16.50 | $19.67 | $30.29 | |
Providence
| Professional | $1,800,000.00 | $2,250,000.00 | $2,400,000.00 |
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 | $15.00 | $19.67 | $19.67 | |
Providence
| Facility | $16.50 | $19.67 | $30.29 | |
Providence
| Professional | $1,800,000.00 | $2,250,000.00 | $2,400,000.00 |