| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,924.00 | $5,484.00 | $6,718.00 | |
United
| Facility | $3,028.00 | $3,028.00 | $3,028.00 | |
University Health Alliance
| Professional | $5,022.20 | $12,599.00 | $22,500.00 |
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 | $1,924.00 | $5,484.00 | $6,718.00 | |
United
| Facility | $3,028.00 | $3,028.00 | $3,028.00 | |
University Health Alliance
| Professional | $5,022.20 | $12,599.00 | $22,500.00 |