| 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 |