| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.80 | $3.80 | $3.80 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 |
Dialysate conc sol add 10 ml
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.80 | $3.80 | $3.80 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 |