| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $200.00 | $350.00 | $507.50 | |
Anthem BCBS
| Facility | $400.00 | $400.00 | $450.00 | |
Cigna
| Facility | $350.00 | $375.00 | $450.00 | |
Quartz
| Facility | $350.00 | $375.00 | $500.00 |
Inpatient Renal Dialysis - Inpatient Peritoneal (Non-CAPD)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $200.00 | $350.00 | $507.50 | |
Anthem BCBS
| Facility | $400.00 | $400.00 | $450.00 | |
Cigna
| Facility | $350.00 | $375.00 | $450.00 | |
Quartz
| Facility | $350.00 | $375.00 | $500.00 |