| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,344.23 | $10,000.00 | $20,417.38 | |
Aetna
| Professional | $2,344.23 | $14,125.38 | $20,417.38 | |
Moda Health
| Professional | $15,848.93 | $15,848.93 | $15,848.93 |
Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel(s), when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,344.23 | $10,000.00 | $20,417.38 | |
Aetna
| Professional | $2,344.23 | $14,125.38 | $20,417.38 | |
Moda Health
| Professional | $15,848.93 | $15,848.93 | $15,848.93 |