| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $917.80 | $917.80 | $8,500.00 | |
Medica
| Facility | $917.80 | $1,249.36 | $2,753.40 |
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 | $917.80 | $917.80 | $8,500.00 | |
Medica
| Facility | $917.80 | $1,249.36 | $2,753.40 |