| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $10.00 | $10.00 | |
Medica
| Facility | $10.00 | $15.00 | $19.00 | |
Medica
| Professional | $29.12 | $29.12 | $29.12 |
Drain bag/bottle, for dialysis, each
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.00 | $10.00 | $10.00 | |
Medica
| Facility | $10.00 | $15.00 | $19.00 | |
Medica
| Professional | $29.12 | $29.12 | $29.12 |