| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $30.36 | $35.72 | $225.00 | |
Hometown Health
| Professional | $200.00 | $400.00 | $493.00 |
Esrd on dialysi drug/bio noc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $30.36 | $35.72 | $225.00 | |
Hometown Health
| Professional | $200.00 | $400.00 | $493.00 |