| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,348.96 | $1,348.96 | $1,348.96 | |
Aetna
| Professional | $707.95 | $707.95 | $1,348.96 | |
Molina
| Professional | $30.20 | $44.67 | $60.26 |
Kidney, dialysate delivery system kidney machine, pump recirculating, air removal system, flowrate meter, power off, heater and temperature control with alarm, IV poles, pressure gauge, concentrate container
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,348.96 | $1,348.96 | $1,348.96 | |
Aetna
| Professional | $707.95 | $707.95 | $1,348.96 | |
Molina
| Professional | $30.20 | $44.67 | $60.26 |