| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $1,202.26 | $1,202.26 | $1,202.26 |
Hemodialysis Outpatient or Home-Other OP Hemodialysis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $1,202.26 | $1,202.26 | $1,202.26 |