| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $526.22 | $526.22 | $8,022.78 | |
Anthem BCBS
| Facility | $15,328.00 | $15,806.00 | $19,757.00 |
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 |
|---|---|---|---|---|---|
Aetna
| Facility | $526.22 | $526.22 | $8,022.78 | |
Anthem BCBS
| Facility | $15,328.00 | $15,806.00 | $19,757.00 |