| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $238.07 | $246.47 | $2,742.90 | |
Florida Blue
| Facility | $1,275.00 | $2,749.00 | $6,798.00 |
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 | $238.07 | $246.47 | $2,742.90 | |
Florida Blue
| Facility | $1,275.00 | $2,749.00 | $6,798.00 |