| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,181.00 | $1,821.00 | $9,034.00 | |
Aetna
| Professional | $1,846.00 | $1,846.00 | $1,846.00 | |
United
| Facility | $2,896.00 | $5,455.00 | $12,152.00 |
Revascularization Endovascular Open Or Percutaneous Tibial/Peroneal Artery(Ies) 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 | $1,181.00 | $1,821.00 | $9,034.00 | |
Aetna
| Professional | $1,846.00 | $1,846.00 | $1,846.00 | |
United
| Facility | $2,896.00 | $5,455.00 | $12,152.00 |