| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $1,302.33 | $1,657.50 | $1,841.07 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |
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 | $1,000.00 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $1,302.33 | $1,657.50 | $1,841.07 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |