| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $159.00 | $159.00 | $159.00 | |
Hometown Health
| Professional | $200.00 | $400.00 | $493.00 |
Replace Components For Hemodialysis And/Or Peritoneal Dialysis M
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $159.00 | $159.00 | $159.00 | |
Hometown Health
| Professional | $200.00 | $400.00 | $493.00 |