| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $867.80 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $642.04 | $879.38 | $896.49 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |
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 | $867.80 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $642.04 | $879.38 | $896.49 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |