| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
MountainHealth Co-op
| Professional | $602.56 | $831.76 | $7,244.36 | |
United
| Professional | $630.96 | $1,584.89 | $7,762.47 |
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 |
|---|---|---|---|---|---|
MountainHealth Co-op
| Professional | $602.56 | $831.76 | $7,244.36 | |
United
| Professional | $630.96 | $1,584.89 | $7,762.47 |