| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $1,036.75 | $1,319.50 | $1,530.58 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |
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 | $1,000.00 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $1,036.75 | $1,319.50 | $1,530.58 | |
United
| Facility | $9,028.00 | $15,131.00 | $16,269.00 |