| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,750.00 | $2,750.00 | $2,750.00 | |
HealthNet
| Facility | $19,213.80 | $24,666.26 | $40,101.17 | |
Kaiser Permanente
| Facility | $118.50 | $195.00 | $315.00 |
Durable Medical Equipment (Other Than Renal) - Supplies/Drugs For DME
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,750.00 | $2,750.00 | $2,750.00 | |
HealthNet
| Facility | $19,213.80 | $24,666.26 | $40,101.17 | |
Kaiser Permanente
| Facility | $118.50 | $195.00 | $315.00 |