| 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 Angioplastywithin 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 |