| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $3,388.44 | $6,025.60 | |
U of Utah Health Plan
| Professional | $204.17 | $239.88 | $346.74 | |
United
| Facility | $2,290.87 | $5,128.61 | $13,803.84 |
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 | $239.88 | $3,388.44 | $6,025.60 | |
U of Utah Health Plan
| Professional | $204.17 | $239.88 | $346.74 | |
United
| Facility | $2,290.87 | $5,128.61 | $13,803.84 |