Introduction of needle(s) and/or catheter(s), dialysis circuit, with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, radiological supervision and interpretation and image documentation and report; with transluminal balloon angioplasty, peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $727.02 | $3,963.17 | $15,648.00 | |
Aetna
| Professional | $198.15 | $727.02 | $1,542.09 | |
Aetna
| Professional | 52 | $130.65 | $145.24 | $771.05 |
Cigna
| Professional | $241.03 | $315.26 | $1,710.79 | |
Highmark BCBS
| Facility | $9,399.36 | $9,399.36 | $9,399.36 | |
United
| Professional | $1,262.03 | $1,496.06 | $3,310.36 |