| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $14,552.94 | |
Moda Health
| Facility | $878.05 | $4,022.10 | $5,751.60 | |
Providence
| Facility | $878.05 | $4,022.10 | $5,751.60 |
Arteriovenous anastomosis, open; by upper arm basilic vein transposition
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,741.00 | $10,480.00 | $14,552.94 | |
Moda Health
| Facility | $878.05 | $4,022.10 | $5,751.60 | |
Providence
| Facility | $878.05 | $4,022.10 | $5,751.60 |