| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $576.77 | $576.77 | $10,000.00 | |
Medica
| Facility | $576.77 | $780.90 | $1,730.31 |
Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula);
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $576.77 | $576.77 | $10,000.00 | |
Medica
| Facility | $576.77 | $780.90 | $1,730.31 |