| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.25 | $0.25 | $0.25 | |
Aetna
| Professional | $0.25 | $0.25 | $0.25 | |
Cigna
| Professional | $1.01 | $1.01 | $1.01 | |
Molina
| Professional | $0.66 | $0.76 | $45.00 |
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
| Facility | $0.25 | $0.25 | $0.25 | |
Aetna
| Professional | $0.25 | $0.25 | $0.25 | |
Cigna
| Professional | $1.01 | $1.01 | $1.01 | |
Molina
| Professional | $0.66 | $0.76 | $45.00 |