| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,889.20 | $1,889.20 | $1,889.20 | |
Providence
| Facility | $1,889.20 | $2,332.19 | $2,427.54 |
Thromboendarterectomy, including patch graft, if performed; tibial or peroneal artery, initial vessel
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,889.20 | $1,889.20 | $1,889.20 | |
Providence
| Facility | $1,889.20 | $2,332.19 | $2,427.54 |