| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $812.83 | $9,332.54 | $20,417.38 |
Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with atherectomy, includes angioplasty within the same vessel, when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $812.83 | $9,332.54 | $20,417.38 |