| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.45 | $5.45 | $285.00 | |
BCBS
| Professional | $75.00 | $75.00 | $75.00 |
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 | $285.00 | |
BCBS
| Professional | $75.00 | $75.00 | $75.00 |