| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $15,172.22 | $19,955.61 | $38,600.60 | |
Medica
| Facility | $311.13 | $5,070.45 | $8,224.11 | |
Midlands
| Facility | $599.08 | $6,580.63 | $11,018.95 |
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 |
|---|---|---|---|---|---|
BCBS
| Facility | $15,172.22 | $19,955.61 | $38,600.60 | |
Medica
| Facility | $311.13 | $5,070.45 | $8,224.11 | |
Midlands
| Facility | $599.08 | $6,580.63 | $11,018.95 |