| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $670.77 | $2,750.93 | $4,035.41 | |
Medica
| Facility | $300.25 | $3,936.33 | $8,551.00 |
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 | $670.77 | $2,750.93 | $4,035.41 | |
Medica
| Facility | $300.25 | $3,936.33 | $8,551.00 |