| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.97 | $24.97 | $24.97 | |
Aetna
| Professional | $24.97 | $24.97 | $36.63 | |
Medica
| Facility | $24.00 | $24.97 | $42.45 |
Dialysate solution test kit, for peritoneal dialysis, any type, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.97 | $24.97 | $24.97 | |
Aetna
| Professional | $24.97 | $24.97 | $36.63 | |
Medica
| Facility | $24.00 | $24.97 | $42.45 |