| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $7,943.28 | $16,595.87 | |
Medcost
| Facility | $158.49 | $229.09 | $407.38 | |
United
| Facility | $2,454.71 | $6,760.83 | $9,120.11 |
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 | $204.17 | $7,943.28 | $16,595.87 | |
Medcost
| Facility | $158.49 | $229.09 | $407.38 | |
United
| Facility | $2,454.71 | $6,760.83 | $9,120.11 |