| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,930.00 | $6,071.00 | $13,151.00 | |
Medica
| Facility | $903.20 | $1,739.00 | $26,542.00 | |
United
| Facility | $2,269.00 | $5,875.00 | $10,716.00 |
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 | $1,930.00 | $6,071.00 | $13,151.00 | |
Medica
| Facility | $903.20 | $1,739.00 | $26,542.00 | |
United
| Facility | $2,269.00 | $5,875.00 | $10,716.00 |