Endovenous femoral-popliteal arterial revascularization, with transcatheter placement of intravascular stent graft(s) and closure by any method, including percutaneous or open vascular access, ultrasound guidance for vascular access when performed, all catheterization(s) and intraprocedural roadmapping and imaging guidance necessary to complete the intervention, all associated radiological supervision and interpretation, when performed, with crossing of the occlusive lesion in an extraluminal fashion
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,821.00 | $3,940.00 | $7,602.00 | |
Aetna
| Professional | $4,370.20 | $6,243.15 | $6,563.99 | |
BCBS
| Facility | $3,691.00 | $7,194.00 | $13,623.00 | |
BCBS
| Professional | $9,539.75 | $12,900.26 | $21,828.25 | |
Lucent Health
| Facility | $23,805.88 | $37,448.40 | $50,088.08 | |
Lucent Health
| Professional | $47,741.20 | $47,741.20 | $47,741.20 | |
United
| Facility | $5,052.00 | $10,886.00 | $19,168.00 | |
United
| Professional | $9,511.21 | $14,980.17 | $23,638.78 |