| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.46 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $180.43 | $229.64 | $247.32 | |
United
| Facility | $3,085.00 | $4,262.00 | $17,636.00 |
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 | $164.46 | $7,838.38 | $7,838.38 | |
Providence
| Facility | $180.43 | $229.64 | $247.32 | |
United
| Facility | $3,085.00 | $4,262.00 | $17,636.00 |