| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Facility | $1,000.00 | $1,000.00 | $1,000.00 |
Peritoneal Dialysis Outpatient or Home-Other Outpatient Peritoneal Dialysis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Emblem Health
| Facility | $1,000.00 | $1,000.00 | $1,000.00 |