| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $439.63 | $10,900.00 | $87,452.86 | |
Moda Health
| Facility | $184.62 | $844.41 | $1,207.51 | |
Providence
| Facility | $184.62 | $844.41 | $1,207.51 |
Reoperation, femoral-popliteal or femoral (popliteal)-anterior tibial, posterior tibial, peroneal artery, or other distal vessels, more than 1 month after original operation (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $439.63 | $10,900.00 | $87,452.86 | |
Moda Health
| Facility | $184.62 | $844.41 | $1,207.51 | |
Providence
| Facility | $184.62 | $844.41 | $1,207.51 |