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 |
|---|---|---|---|---|---|
Aetna
| Facility | $441.49 | $651.96 | $7,643.67 | |
BCBS
| Facility | $4,568.00 | $8,107.00 | $14,193.00 | |
Cigna
| Facility | $9,444.78 | $12,175.64 | $24,768.13 | |
United
| Facility | $4,334.00 | $4,334.00 | $4,334.00 |
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