| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $6,165.95 | $7,762.47 | |
United
| Facility | $4,897.79 | $13,489.63 | $57,543.99 |
Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $6,165.95 | $7,762.47 | |
United
| Facility | $4,897.79 | $13,489.63 | $57,543.99 |