| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.59 | $160.59 | $1,400.00 | |
CareSource
| Facility | $159.28 | $184.44 | $200.95 | |
Cigna
| Facility | $171.07 | $171.07 | $171.07 | |
Cigna
| Facility | AS | $16.48 | $16.48 | $16.48 |
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 | $160.59 | $160.59 | $1,400.00 | |
CareSource
| Facility | $159.28 | $184.44 | $200.95 | |
Cigna
| Facility | $171.07 | $171.07 | $171.07 | |
Cigna
| Facility | AS | $16.48 | $16.48 | $16.48 |