| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $724.44 | $724.44 | $912.01 | |
CareSource
| Professional | $812.83 | $812.83 | $812.83 | |
United
| Professional | $660.69 | $5,623.41 | $15,488.17 |
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 |
|---|---|---|---|---|---|
CareSource
| Facility | $724.44 | $724.44 | $912.01 | |
CareSource
| Professional | $812.83 | $812.83 | $812.83 | |
United
| Professional | $660.69 | $5,623.41 | $15,488.17 |