| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $628.00 | $628.00 | $628.00 | |
BCBS
| Facility | $152.31 | $152.31 | $793.22 | |
BCBS
| Professional | $125.35 | $147.74 | $152.31 | |
Medica
| Facility | $628.00 | $628.00 | $628.00 |
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 | $152.31 | $152.31 | $793.22 | |
BCBS
| Professional | $125.35 | $147.74 | $152.31 | |
Medica
| Facility | $628.00 | $628.00 | $628.00 |