| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.13 | $31.13 | $31.13 | |
Aetna
| Professional | $3.20 | $3.20 | $4.00 | |
Moda Health
| Facility | $3.20 | $3.36 | $6.88 | |
Molina
| Professional | $30.00 | $55.00 | $3,500.00 |
Ammonia test strips, for dialysis, per 50
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.13 | $31.13 | $31.13 | |
Aetna
| Professional | $3.20 | $3.20 | $4.00 | |
Moda Health
| Facility | $3.20 | $3.36 | $6.88 | |
Molina
| Professional | $30.00 | $55.00 | $3,500.00 |