| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $9,549.93 | $9,549.93 | $9,772.37 | |
United
| Professional | $724.44 | $2,290.87 | $16,218.10 |
Revascularization, endovascular, open or percutaneous, tibial, peroneal artery, unilateral, initial vessel; with transluminal stent placement(s), 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
| Facility | $9,549.93 | $9,549.93 | $9,772.37 | |
United
| Professional | $724.44 | $2,290.87 | $16,218.10 |