| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,553.00 | $6,284.00 | $12,237.00 | |
Medica
| Facility | $872.64 | $1,900.00 | $26,542.00 | |
United
| Facility | $2,269.00 | $5,875.00 | $10,716.00 |
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 | $2,553.00 | $6,284.00 | $12,237.00 | |
Medica
| Facility | $872.64 | $1,900.00 | $26,542.00 | |
United
| Facility | $2,269.00 | $5,875.00 | $10,716.00 |