| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18,028.12 | $18,028.12 | $18,028.12 | |
Harvard Pilgrim
| Professional | $118,054.34 | $118,054.34 | $118,054.34 |
Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel(s), when performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $18,028.12 | $18,028.12 | $18,028.12 | |
Harvard Pilgrim
| Professional | $118,054.34 | $118,054.34 | $118,054.34 |