| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $3,630.78 | $6,456.54 | $13,803.84 | |
Cigna
| Facility | $9,549.93 | $13,803.84 | $32,359.37 | |
United
| Facility | $2,884.03 | $6,165.95 | $14,125.38 |
Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s), 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 |
|---|---|---|---|---|---|
BCBS
| Facility | $3,630.78 | $6,456.54 | $13,803.84 | |
Cigna
| Facility | $9,549.93 | $13,803.84 | $32,359.37 | |
United
| Facility | $2,884.03 | $6,165.95 | $14,125.38 |
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