| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | QK | $407.00 | $407.00 | $407.00 |
Providence
| Facility | QX | $407.00 | $407.00 | $407.00 |
Anesthesia for intracranial procedures; cranioplasty or elevation of depressed skull fracture, extradural (simple or compound)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | QK | $407.00 | $407.00 | $407.00 |
Providence
| Facility | QX | $407.00 | $407.00 | $407.00 |