| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $363.08 | $5,754.40 | $8,317.64 | |
Midlands
| Professional | $645.65 | $7,413.10 | $10,964.78 | |
United
| Facility | $7,079.46 | $7,079.46 | $7,585.78 |
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 |
|---|---|---|---|---|---|
Medica
| Facility | $363.08 | $5,754.40 | $8,317.64 | |
Midlands
| Professional | $645.65 | $7,413.10 | $10,964.78 | |
United
| Facility | $7,079.46 | $7,079.46 | $7,585.78 |