| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,287.87 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $1,381.20 | $6,315.03 | $9,030.49 | |
Providence
| Facility | $1,381.20 | $6,315.03 | $9,030.49 |
Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,287.87 | $9,774.00 | $14,552.94 | |
Moda Health
| Facility | $1,381.20 | $6,315.03 | $9,030.49 | |
Providence
| Facility | $1,381.20 | $6,315.03 | $9,030.49 |