| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $628.00 | $628.00 | $628.00 | |
Anthem BCBS
| Professional | $59.98 | $78.66 | $124.49 | |
Hometown Health
| Professional | $200.00 | $400.00 | $493.00 |
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 | |
Anthem BCBS
| Professional | $59.98 | $78.66 | $124.49 | |
Hometown Health
| Professional | $200.00 | $400.00 | $493.00 |