| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34,906.24 | $34,906.24 | $34,906.24 | |
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 atherectomy, includes angioplasty within the same vessel(s), when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34,906.24 | $34,906.24 | $34,906.24 | |
Harvard Pilgrim
| Professional | $107,384.84 | $107,384.84 | $107,384.84 |