| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $4,897.79 | |
Aetna
| Professional | $263.03 | $263.03 | $4,897.79 | |
Molina
| Professional | $30.20 | $44.67 | $60.26 |
Reverse osmosis water purification system, for hemodialysis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $4,897.79 | |
Aetna
| Professional | $263.03 | $263.03 | $4,897.79 | |
Molina
| Professional | $30.20 | $44.67 | $60.26 |