| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,635.55 | $2,747.00 | $5,484.00 | |
Kaiser Permanente
| Professional | $804.84 | $878.00 | $1,024.33 | |
United
| Facility | $3,028.00 | $3,028.00 | $3,028.00 |
Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,635.55 | $2,747.00 | $5,484.00 | |
Kaiser Permanente
| Professional | $804.84 | $878.00 | $1,024.33 | |
United
| Facility | $3,028.00 | $3,028.00 | $3,028.00 |