| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $256.13 | $3,936.14 | $5,480.32 | |
Medica
| Facility | $640.24 | $7,080.27 | $10,691.66 | |
Midlands
| Facility | $644.88 | $6,580.63 | $10,180.70 |
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 |
|---|---|---|---|---|---|
Hally Health
| Professional | $256.13 | $3,936.14 | $5,480.32 | |
Medica
| Facility | $640.24 | $7,080.27 | $10,691.66 | |
Midlands
| Facility | $644.88 | $6,580.63 | $10,180.70 |