| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $417.44 | $417.44 | $5,440.56 | |
BCBS
| Facility | $3,905.00 | $5,465.55 | $8,669.43 | |
Medica
| Facility | $55.00 | $4,128.00 | $9,507.00 |
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 | $417.44 | $417.44 | $5,440.56 | |
BCBS
| Facility | $3,905.00 | $5,465.55 | $8,669.43 | |
Medica
| Facility | $55.00 | $4,128.00 | $9,507.00 |