| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $389.05 | $5,623.41 | $10,471.29 | |
Medica
| Facility | $54.95 | $416.87 | $4,897.79 | |
United
| Facility | $851.14 | $1,445.44 | $5,623.41 |
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 | $389.05 | $5,623.41 | $10,471.29 | |
Medica
| Facility | $54.95 | $416.87 | $4,897.79 | |
United
| Facility | $851.14 | $1,445.44 | $5,623.41 |