| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,529.42 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,481.16 | $6,778.99 | $9,693.95 | |
Providence
| Facility | $1,481.16 | $6,778.99 | $9,693.95 |
Thromboendarterectomy, including patch graft, if performed; tibial or peroneal artery, initial vessel
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,529.42 | $10,900.00 | $14,552.94 | |
Moda Health
| Facility | $1,481.16 | $6,778.99 | $9,693.95 | |
Providence
| Facility | $1,481.16 | $6,778.99 | $9,693.95 |