| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $696.31 | $1,400.00 | $20,084.48 | |
CareSource
| Facility | $697.89 | $800.80 | $872.49 | |
Cigna
| Facility | $749.30 | $749.30 | $749.30 | |
Cigna
| Facility | AS | $73.00 | $73.00 | $73.00 |
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 | $696.31 | $1,400.00 | $20,084.48 | |
CareSource
| Facility | $697.89 | $800.80 | $872.49 | |
Cigna
| Facility | $749.30 | $749.30 | $749.30 | |
Cigna
| Facility | AS | $73.00 | $73.00 | $73.00 |