| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,019.95 | $3,715.35 | $3,981.07 | |
United
| Facility | $3,715.35 | $7,762.47 | $18,620.87 | |
United
| Professional | $41,686.94 | $41,686.94 | $41,686.94 |
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 | $3,019.95 | $3,715.35 | $3,981.07 | |
United
| Facility | $3,715.35 | $7,762.47 | $18,620.87 | |
United
| Professional | $41,686.94 | $41,686.94 | $41,686.94 |