| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $183.55 | $1,614.00 | $7,727.00 | |
Kaiser Permanente
| Professional | $327.12 | $327.12 | $327.12 | |
United
| Facility | $645.00 | $1,319.00 | $16,382.00 |
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 | $183.55 | $1,614.00 | $7,727.00 | |
Kaiser Permanente
| Professional | $327.12 | $327.12 | $327.12 | |
United
| Facility | $645.00 | $1,319.00 | $16,382.00 |