| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $261.80 | $261.80 | $261.80 | |
Aetna
| Professional | $261.80 | $261.80 | $4,923.67 | |
Medica
| Facility | $261.80 | $261.80 | $3,300.77 |
Reverse osmosis water purification system, for hemodialysis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $261.80 | $261.80 | $261.80 | |
Aetna
| Professional | $261.80 | $261.80 | $4,923.67 | |
Medica
| Facility | $261.80 | $261.80 | $3,300.77 |