| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $628.00 | $628.00 | $628.00 | |
Medica
| Facility | $628.00 | $1,061.32 | $1,720.72 |
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 | |
Medica
| Facility | $628.00 | $1,061.32 | $1,720.72 |