| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.80 | $3.80 | $3.80 |
Dialysate concentrate, solution, additive for peritoneal dialysis, per 10 ml
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.80 | $3.80 | $3.80 |