| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,727.41 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,147.14 | $5,238.55 | $7,491.13 | |
Providence
| Facility | $1,147.14 | $5,238.55 | $7,491.13 |
Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,727.41 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,147.14 | $5,238.55 | $7,491.13 | |
Providence
| Facility | $1,147.14 | $5,238.55 | $7,491.13 |