| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.60 | $254.94 | $622.74 | |
Medica
| Facility | $100.00 | $622.74 | $747.29 | |
Medica
| Professional | $15.64 | $15.64 | $15.64 |
Contracts, Repair and Maintenance, for Home Dialysis Equipment (Non-Co
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.60 | $254.94 | $622.74 | |
Medica
| Facility | $100.00 | $622.74 | $747.29 | |
Medica
| Professional | $15.64 | $15.64 | $15.64 |