| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $759.00 | $759.00 | $948.00 | |
Hometown Health
| Facility | $674.64 | $674.64 | $674.64 |
Other Outpatient Peritoneal
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $759.00 | $759.00 | $948.00 | |
Hometown Health
| Facility | $674.64 | $674.64 | $674.64 |