| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.00 | $8.00 | $8.00 | |
BCBS
| Professional | $11.00 | $11.00 | $11.00 | |
Cigna
| Professional | $12.00 | $12.00 | $13.55 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 |
Blood Tubing Arterial And Venous Combined For Hemodialysis Each (Special Coverage Instructions Apply. See Mcm: 4270)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8.00 | $8.00 | $8.00 | |
BCBS
| Professional | $11.00 | $11.00 | $11.00 | |
Cigna
| Professional | $12.00 | $12.00 | $13.55 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 |