| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Health Alliance Plan
| Facility | $6,917.56 | $6,917.56 | $6,917.56 | |
Health Alliance Plan
| Professional | $6,917.56 | $6,917.56 | $9,070.99 |
Percutaneous arteriovenous fistula creation (AVF), direct, any site, using magnetic-guided arterial and venous catheters and radiofrequency energy, including flow-directing procedures (e.g., vascular coil embolization with radiologic supervision and interpretation, when performed) and fistulogram(s), angiography, venography, and/or ultrasound, with radiologic supervision and interpretation, when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Health Alliance Plan
| Facility | $6,917.56 | $6,917.56 | $6,917.56 | |
Health Alliance Plan
| Professional | $6,917.56 | $6,917.56 | $9,070.99 |