| 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 |
Anes Intracranial/Elevation Deprsd Skull Fx Xdrl
| 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 |