| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $30.00 | $30.00 | $30.00 | |
Medica
| Professional | $75.70 | $75.70 | $75.70 |
Replace Components For Hemodialysis And/Or Peritoneal Dialysis M
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $30.00 | $30.00 | $30.00 | |
Medica
| Professional | $75.70 | $75.70 | $75.70 |