| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $346.74 | $4,466.84 | $11,481.54 | |
United
| Facility | $2,691.53 | $2,691.53 | $8,709.64 |
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 | $346.74 | $4,466.84 | $11,481.54 | |
United
| Facility | $2,691.53 | $2,691.53 | $8,709.64 |