| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Professional | $3,569.17 | $5,248.78 | $28,483.44 | |
United
| Professional | $3,359.22 | $4,750.34 | $6,836.42 |
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 | $3,569.17 | $5,248.78 | $28,483.44 | |
United
| Professional | $3,359.22 | $4,750.34 | $6,836.42 |