| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,714.47 | $13,413.92 | $20,143.00 | |
Moda Health
| Facility | $1,140.01 | $5,213.70 | $7,455.59 | |
Providence
| Facility | $1,140.01 | $5,213.70 | $7,455.59 |
Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or venous graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,714.47 | $13,413.92 | $20,143.00 | |
Moda Health
| Facility | $1,140.01 | $5,213.70 | $7,455.59 | |
Providence
| Facility | $1,140.01 | $5,213.70 | $7,455.59 |