| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,905.46 | $2,137.96 | $2,511.89 | |
CareSource
| Facility | $269.15 | $269.15 | $269.15 |
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 |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,905.46 | $2,137.96 | $2,511.89 | |
CareSource
| Facility | $269.15 | $269.15 | $269.15 |