| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.25 | $0.25 | $0.25 | |
BCBS
| Professional | $7.89 | $7.89 | $7.89 | |
Cigna
| Professional | $1.01 | $1.01 | $3.71 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 |
Disposable Catheter Tips For Peritoneal Dialysis Per 10 (Special Coverage Instructions Apply. See Mcm: 4270)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $0.25 | $0.25 | $0.25 | |
BCBS
| Professional | $7.89 | $7.89 | $7.89 | |
Cigna
| Professional | $1.01 | $1.01 | $3.71 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 |