| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10,895.24 | $10,895.24 | $10,895.24 | |
Harvard Pilgrim
| Professional | $107,384.84 | $107,384.84 | $107,384.84 |
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
| Professional | $10,895.24 | $10,895.24 | $10,895.24 | |
Harvard Pilgrim
| Professional | $107,384.84 | $107,384.84 | $107,384.84 |