| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,462.25 | $1,462.25 | $1,462.25 | |
Providence
| Facility | $1,462.25 | $1,828.45 | $1,898.77 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $1,462.25 | $1,462.25 | $1,462.25 | |
Providence
| Facility | $1,462.25 | $1,828.45 | $1,898.77 |