| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $542.00 | $628.00 | $628.00 | |
Anthem BCBS
| Professional | $1.96 | $70.70 | $87.31 | |
Medica
| Facility | $100.00 | $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 | $542.00 | $628.00 | $628.00 | |
Anthem BCBS
| Professional | $1.96 | $70.70 | $87.31 | |
Medica
| Facility | $100.00 | $628.00 | $628.00 |