| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $1,482.57 | $1,482.57 | $1,482.57 |
Aetna
| Facility | QX | $2,441.88 | $2,441.88 | $2,441.88 |
Aetna
| Professional | QZ | $431.11 | $431.11 | $431.11 |
Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; without pump oxygenator
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $1,482.57 | $1,482.57 | $1,482.57 |
Aetna
| Facility | QX | $2,441.88 | $2,441.88 | $2,441.88 |
Aetna
| Professional | QZ | $431.11 | $431.11 | $431.11 |
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