| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,668.34 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,543.56 | $7,045.80 | $10,075.49 | |
Providence
| Facility | $1,543.56 | $7,045.80 | $10,075.49 |
Thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk artery
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,668.34 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,543.56 | $7,045.80 | $10,075.49 | |
Providence
| Facility | $1,543.56 | $7,045.80 | $10,075.49 |