| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $831.76 | $831.76 | $831.76 |
Aetna
| Professional | AA | $1,174.90 | $1,174.90 | $1,174.90 |
Martin's Point
| Facility | QX | $831.76 | $831.76 | $831.76 |
Anesthesia for vascular shunt, or shunt revision, any type (eg, dialysis)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $831.76 | $831.76 | $831.76 |
Aetna
| Professional | AA | $1,174.90 | $1,174.90 | $1,174.90 |
Martin's Point
| Facility | QX | $831.76 | $831.76 | $831.76 |