| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,059.63 | $2,059.63 | $22,335.10 | |
Providence
| Professional | $3,794.16 | $3,794.16 | $4,627.46 | |
United
| Professional | $6,050.20 | $7,374.23 | $11,048.19 |
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 | $2,059.63 | $2,059.63 | $22,335.10 | |
Providence
| Professional | $3,794.16 | $3,794.16 | $4,627.46 | |
United
| Professional | $6,050.20 | $7,374.23 | $11,048.19 |