| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.54 | $147.91 | $8,511.38 | |
Medica
| Facility | $147.91 | $194.98 | $436.52 | |
United
| Facility | $1,819.70 | $2,041.74 | $2,041.74 |
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 | $144.54 | $147.91 | $8,511.38 | |
Medica
| Facility | $147.91 | $194.98 | $436.52 | |
United
| Facility | $1,819.70 | $2,041.74 | $2,041.74 |