| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $647.16 | $647.16 | $8,500.00 | |
Medica
| Facility | $647.16 | $882.84 | $1,941.48 |
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 | $647.16 | $647.16 | $8,500.00 | |
Medica
| Facility | $647.16 | $882.84 | $1,941.48 |