| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $464.28 | $788.68 | $6,266.82 | |
United
| Professional | $4,175.10 | $5,560.01 | $7,188.90 |
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 |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $464.28 | $788.68 | $6,266.82 | |
United
| Professional | $4,175.10 | $5,560.01 | $7,188.90 |