| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $1,537.22 | $1,872.09 | $1,920.41 | |
United
| Facility | $3,085.00 | $4,262.00 | $17,636.00 |
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 | $1,000.00 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $1,537.22 | $1,872.09 | $1,920.41 | |
United
| Facility | $3,085.00 | $4,262.00 | $17,636.00 |