| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,500.00 | $6,500.00 | $8,500.00 | |
Medica
| Facility | $11,358.63 | $11,358.63 | $11,358.63 |
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 | $6,500.00 | $6,500.00 | $8,500.00 | |
Medica
| Facility | $11,358.63 | $11,358.63 | $11,358.63 |