| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.81 | $5.81 | $390.25 | |
BCBS
| Facility | $754.61 | $1,039.46 | $1,590.98 | |
Medica
| Facility | $5.81 | $5.81 | $8.13 | |
Medica
| Professional | $656.92 | $656.92 | $656.92 |
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
| Professional | $5.81 | $5.81 | $390.25 | |
BCBS
| Facility | $754.61 | $1,039.46 | $1,590.98 | |
Medica
| Facility | $5.81 | $5.81 | $8.13 | |
Medica
| Professional | $656.92 | $656.92 | $656.92 |