| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $254.94 | $254.94 | $254.94 | |
Hally Health
| Professional | $573.60 | $595.20 | $766.20 | |
Medica
| Facility | $216.70 | $254.94 | $430.85 |
Contracts, Repair and Maintenance, for Home Dialysis Equipment (Non-Co
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $254.94 | $254.94 | $254.94 | |
Hally Health
| Professional | $573.60 | $595.20 | $766.20 | |
Medica
| Facility | $216.70 | $254.94 | $430.85 |