| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $16,229.36 | $79,999.20 | $79,999.20 | |
Providence
| Professional | $2,250,000.00 | $2,250,000.00 | $2,400,000.00 |
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 |
|---|---|---|---|---|---|
Pacific Source
| Facility | $16,229.36 | $79,999.20 | $79,999.20 | |
Providence
| Professional | $2,250,000.00 | $2,250,000.00 | $2,400,000.00 |