| 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 | $22.86 | $30.26 | $33.61 |
Dialysate Solution Any Concentration Of Dextrose Fluid Volume Greater Than 5999cc For Peritoneal Dialysis (Special Coverage Instructions Apply. See Mcm: 4270)
| 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 | $22.86 | $30.26 | $33.61 |