| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.45 | $5.45 | $5.45 | |
Aetna
| Professional | $5.45 | $5.45 | $285.00 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |
Dialysate Conc Pow Per Pack
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.45 | $5.45 | $5.45 | |
Aetna
| Professional | $5.45 | $5.45 | $285.00 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |