| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.00 | $24.00 | $24.00 | |
Aetna
| Professional | $24.97 | $24.97 | $36.63 | |
Moda Health
| Facility | $24.97 | $25.47 | $31.96 | |
Molina
| Professional | $30.00 | $30.00 | $3,500.00 |
Dialysate solution test kit, for peritoneal dialysis, any type, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.00 | $24.00 | $24.00 | |
Aetna
| Professional | $24.97 | $24.97 | $36.63 | |
Moda Health
| Facility | $24.97 | $25.47 | $31.96 | |
Molina
| Professional | $30.00 | $30.00 | $3,500.00 |