| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $2,747.00 | $2,747.00 | |
Kaiser Permanente
| Professional | $148.88 | $162.41 | $189.49 | |
United
| Facility | $2,446.00 | $2,446.00 | $2,446.00 |
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 | $2,747.00 | $2,747.00 | $2,747.00 | |
Kaiser Permanente
| Professional | $148.88 | $162.41 | $189.49 | |
United
| Facility | $2,446.00 | $2,446.00 | $2,446.00 |