| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,089.30 | $5,623.41 | $12,302.69 | |
Medica
| Facility | $1,000.00 | $5,128.61 | $26,302.68 | |
United
| Facility | $2,818.38 | $5,623.41 | $10,232.93 |
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 | $2,089.30 | $5,623.41 | $12,302.69 | |
Medica
| Facility | $1,000.00 | $5,128.61 | $26,302.68 | |
United
| Facility | $2,818.38 | $5,623.41 | $10,232.93 |