| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.60 | $17.60 | $17.60 | |
Aetna
| Professional | $17.60 | $254.94 | $622.74 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |
Contracts, Repair and Maintenance, for Home Dialysis Equipment (Non-Co
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.60 | $17.60 | $17.60 | |
Aetna
| Professional | $17.60 | $254.94 | $622.74 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |