| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15,443.64 | $15,443.64 | $15,443.64 | |
Cigna
| Professional | $9,937.73 | $9,937.73 | $9,937.73 | |
Harvard Pilgrim
| Professional | $107,384.84 | $107,384.84 | $107,384.84 |
Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15,443.64 | $15,443.64 | $15,443.64 | |
Cigna
| Professional | $9,937.73 | $9,937.73 | $9,937.73 | |
Harvard Pilgrim
| Professional | $107,384.84 | $107,384.84 | $107,384.84 |