| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $324.68 | $647.13 | $8,689.74 | |
Anthem BCBS
| Facility | $446.81 | $862.34 | $50,842.00 | |
CareSource
| Facility | $257.48 | $370.77 | $4,344.10 |
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 | $324.68 | $647.13 | $8,689.74 | |
Anthem BCBS
| Facility | $446.81 | $862.34 | $50,842.00 | |
CareSource
| Facility | $257.48 | $370.77 | $4,344.10 |