| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,458.68 | $7,629.00 | $10,492.00 | |
Anthem BCBS
| Facility | $12,098.00 | $12,905.00 | $17,206.00 | |
United
| Facility | $8,706.00 | $11,710.00 | $21,600.00 |
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 | $4,458.68 | $7,629.00 | $10,492.00 | |
Anthem BCBS
| Facility | $12,098.00 | $12,905.00 | $17,206.00 | |
United
| Facility | $8,706.00 | $11,710.00 | $21,600.00 |