| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $569.57 | $569.57 | $5,102.18 | |
CareSource
| Professional | $427.18 | $427.18 | $427.18 | |
United
| Professional | $2,929.18 | $5,102.18 | $8,214.95 |
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 | $569.57 | $569.57 | $5,102.18 | |
CareSource
| Professional | $427.18 | $427.18 | $427.18 | |
United
| Professional | $2,929.18 | $5,102.18 | $8,214.95 |