| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,181.44 | $1,181.44 | $8,500.00 | |
Medica
| Facility | $1,181.44 | $1,602.80 | $3,544.32 |
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 | $1,181.44 | $1,181.44 | $8,500.00 | |
Medica
| Facility | $1,181.44 | $1,602.80 | $3,544.32 |