| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $234.42 | $234.42 | $234.42 | |
MountainHealth Co-op
| Facility | $251.19 | $257.04 | $281.84 | |
Providence
| Facility | $177.83 | $245.47 | $295.12 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $234.42 | $234.42 | $234.42 | |
MountainHealth Co-op
| Facility | $251.19 | $257.04 | $281.84 | |
Providence
| Facility | $177.83 | $245.47 | $295.12 |