| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $334.78 | $334.78 | $3,704.90 | |
Anthem BCBS
| Facility | $2,114.00 | $8,107.00 | $16,769.00 | |
Medica
| Facility | $288.74 | $3,798.91 | $12,989.00 |
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 | $334.78 | $334.78 | $3,704.90 | |
Anthem BCBS
| Facility | $2,114.00 | $8,107.00 | $16,769.00 | |
Medica
| Facility | $288.74 | $3,798.91 | $12,989.00 |