| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $2,691.53 | $4,365.16 | |
Christus
| Facility | $39.81 | $39.81 | $39.81 | |
United
| Facility | $389.05 | $1,230.27 | $6,165.95 |
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 | $213.80 | $2,691.53 | $4,365.16 | |
Christus
| Facility | $39.81 | $39.81 | $39.81 | |
United
| Facility | $389.05 | $1,230.27 | $6,165.95 |