| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $606.95 | $2,059.63 | $22,335.10 | |
Molina
| Professional | $32.34 | $1,043.40 | $5,439.20 | |
United
| Professional | $5,367.11 | $6,586.91 | $9,424.32 |
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 | $606.95 | $2,059.63 | $22,335.10 | |
Molina
| Professional | $32.34 | $1,043.40 | $5,439.20 | |
United
| Professional | $5,367.11 | $6,586.91 | $9,424.32 |