| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,365.16 | $6,918.31 | $11,748.98 | |
Horizon BCBS
| Facility | $109.65 | $109.65 | $109.65 | |
United
| Facility | $1,698.24 | $5,888.44 | $10,471.29 |
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 | $4,365.16 | $6,918.31 | $11,748.98 | |
Horizon BCBS
| Facility | $109.65 | $109.65 | $109.65 | |
United
| Facility | $1,698.24 | $5,888.44 | $10,471.29 |