| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Professional | $4,073.80 | $5,888.44 | $28,183.83 | |
United
| Professional | $467.74 | $3,981.07 | $6,309.57 |
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 |
|---|---|---|---|---|---|
Medica
| Professional | $4,073.80 | $5,888.44 | $28,183.83 | |
United
| Professional | $467.74 | $3,981.07 | $6,309.57 |