| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $514.23 | $514.23 | $514.23 |
Inpatient Renal Dialysis - Inpatient Peritoneal (Non-CAPD)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $514.23 | $514.23 | $514.23 |