| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.00 | $10.00 | $10.00 | |
Aetna
| Professional | $10.00 | $10.00 | $10.00 | |
Horizon BCBS
| Professional | $4.25 | $5.00 | $5.00 | |
United
| Professional | $7.20 | $7.20 | $7.20 |
Drain Bag/Bottle For Dialysis Each (Special Coverage Instructions Apply)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.00 | $10.00 | $10.00 | |
Aetna
| Professional | $10.00 | $10.00 | $10.00 | |
Horizon BCBS
| Professional | $4.25 | $5.00 | $5.00 | |
United
| Professional | $7.20 | $7.20 | $7.20 |