| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,993.72 | $3,706.14 | $3,955.04 | |
United
| Facility | $5,074.00 | $7,819.00 | $19,195.00 |
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
| Facility | $2,993.72 | $3,706.14 | $3,955.04 | |
United
| Facility | $5,074.00 | $7,819.00 | $19,195.00 |