| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $915.31 | $915.31 | $10,000.00 | |
Medica
| Facility | $915.31 | $1,240.33 | $2,745.93 |
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 | $915.31 | $915.31 | $10,000.00 | |
Medica
| Facility | $915.31 | $1,240.33 | $2,745.93 |