| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.80 | $3,643.90 | $3,643.90 | |
Aetna
| Professional | $5.81 | $5.81 | $390.25 | |
Anthem BCBS
| Professional | $72.80 | $85.07 | $85.65 |
Unscheduled or emergency dialysis treatment for an ESRD patient in a hospital outpatient department that is not certified as an ESRD facility
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.80 | $3,643.90 | $3,643.90 | |
Aetna
| Professional | $5.81 | $5.81 | $390.25 | |
Anthem BCBS
| Professional | $72.80 | $85.07 | $85.65 |