| 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 And Transluminal Stent Placement(S) 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 |