| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $628.00 | $628.00 | $628.00 | |
BCBS
| Facility | $52.94 | $89.99 | $89.99 | |
BCBS
| Professional | $54.67 | $62.48 | $72.63 | |
Medica
| Facility | $628.00 | $659.40 | $1,011.08 |
Dialysis procedure with single evaluation by a physician or other qualified health care professional for acute kidney injury without ESRD
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $628.00 | $628.00 | $628.00 | |
BCBS
| Facility | $52.94 | $89.99 | $89.99 | |
BCBS
| Professional | $54.67 | $62.48 | $72.63 | |
Medica
| Facility | $628.00 | $659.40 | $1,011.08 |