| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.00 | $35.00 | $35.00 | |
BCBS
| Facility | $149,999.85 | $399,999.60 | $999,999.00 | |
BCBS
| Professional | $20.59 | $27.25 | $30.28 |
Dialysate solution, any concentration of dextrose, fluid volume greater than 4999 cc but less than or equal to 5999 cc, for peritoneal dialysis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.00 | $35.00 | $35.00 | |
BCBS
| Facility | $149,999.85 | $399,999.60 | $999,999.00 | |
BCBS
| Professional | $20.59 | $27.25 | $30.28 |