| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,312.29 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $970.63 | $4,441.24 | $6,350.97 | |
Providence
| Facility | $970.63 | $4,441.24 | $6,350.97 |
Revision, open, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous dialysis graft (separate procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,312.29 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $970.63 | $4,441.24 | $6,350.97 | |
Providence
| Facility | $970.63 | $4,441.24 | $6,350.97 |