| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $35.72 | $35.72 | $225.00 | |
CareSource
| Facility | $41,999.58 | $41,999.58 | $43,749.56 |
Unclassified drug or biological used for ESRD on dialysis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $35.72 | $35.72 | $225.00 | |
CareSource
| Facility | $41,999.58 | $41,999.58 | $43,749.56 |