| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $213.80 | $213.80 | $213.80 |
Inpatient Renal Dialysis-Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $213.80 | $213.80 | $213.80 |