| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $628.00 | $628.00 | $628.00 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |
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 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |