| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $771.85 | $771.85 | $10,141.20 | |
BCBS
| Facility | $7,043.98 | $13,388.20 | $21,540.69 | |
Medcost
| Facility | $380.49 | $5,072.28 | $8,369.24 |
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 | $771.85 | $771.85 | $10,141.20 | |
BCBS
| Facility | $7,043.98 | $13,388.20 | $21,540.69 | |
Medcost
| Facility | $380.49 | $5,072.28 | $8,369.24 |