| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.71 | $204.17 | $380.19 | |
Cigna
| Professional | $223.87 | $245.47 | $537.03 | |
United
| Professional | $208.93 | $239.88 | $645.65 |
Creation of distal arteriovenous fistula during lower extremity bypass surgery (non-hemodialysis) (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.71 | $204.17 | $380.19 | |
Cigna
| Professional | $223.87 | $245.47 | $537.03 | |
United
| Professional | $208.93 | $239.88 | $645.65 |