| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,205.04 | $11,205.04 | $11,205.04 | |
Martin's Point
| Facility | $11,205.04 | $11,205.04 | $11,205.04 |
Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg, biological collagen, thermoplastic graft)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,205.04 | $11,205.04 | $11,205.04 | |
Martin's Point
| Facility | $11,205.04 | $11,205.04 | $11,205.04 |