| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $835.02 | $835.02 | $995.62 |
Aetna
| Facility | QX | $610.42 | $610.42 | $874.94 |
Anes Rad Orchiectomy Ingun Incl Open Urtl Px
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $835.02 | $835.02 | $995.62 |
Aetna
| Facility | QX | $610.42 | $610.42 | $874.94 |
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