| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.30 | $6,203.00 | $11,900.00 | |
Horizon BCBS
| Facility | $12,657.58 | $13,142.33 | $26,691.35 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |
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 | $838.30 | $6,203.00 | $11,900.00 | |
Horizon BCBS
| Facility | $12,657.58 | $13,142.33 | $26,691.35 | |
United
| Facility | $5,682.00 | $10,536.00 | $23,291.00 |