| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $999.05 | $999.05 | $999.05 |
Martin's Point
| Facility | QX | $999.05 | $999.05 | $999.05 |
Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; reconstructive procedures on breast (eg, reduction or augmentation mammoplasty, muscle flaps)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $999.05 | $999.05 | $999.05 |
Martin's Point
| Facility | QX | $999.05 | $999.05 | $999.05 |