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 | $765.42 | $1,055.18 | $9,635.95 | |
BCBS
| Professional | $420.95 | $3,337.09 | $7,606.79 | |
Lucent Health
| Professional | $13,931.60 | $26,866.16 | $31,765.65 | |
United
| Professional | $3,875.26 | $6,112.23 | $9,205.32 |