| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $1,584.89 | $7,244.36 | $11,748.98 | |
United
| Professional | $338.84 | $1,122.02 | $2,818.38 |
Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with atherectomy, includes angioplasty within the same vessel, when performed (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $1,584.89 | $7,244.36 | $11,748.98 | |
United
| Professional | $338.84 | $1,122.02 | $2,818.38 |