| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
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 |
|---|---|---|---|---|---|
Medica
| Facility | $628.00 | $628.00 | $628.00 |