| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.45 | $5.45 | $5.45 | |
Anthem BCBS
| Professional | $0.68 | $2.00 | $2.00 | |
Medica
| Facility | $5.45 | $6.05 | $12.73 | |
Medica
| Professional | $6.06 | $6.06 | $6.06 |
Dialysate concentrate, powder, additive for peritoneal dialysis, per packet
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.45 | $5.45 | $5.45 | |
Anthem BCBS
| Professional | $0.68 | $2.00 | $2.00 | |
Medica
| Facility | $5.45 | $6.05 | $12.73 | |
Medica
| Professional | $6.06 | $6.06 | $6.06 |