Revascularization, endovascular, open or percutaneous, tibial/peroneal artery, unilateral, each additional vessel; with transluminal stent placement(s) and atherectomy, 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
| Professional | $707.92 | $2,059.63 | $19,242.30 | |
BCBS
| Professional | $464.28 | $3,067.78 | $7,384.48 | |
Cigna
| Professional | $613.10 | $915.81 | $9,775.66 | |
United
| Professional | $4,155.68 | $5,860.47 | $9,909.70 |
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