| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | QK | $203.50 | $203.50 | $203.50 |
Providence
| Facility | QX | $203.50 | $203.50 | $203.50 |
Anesthesia for procedures on male genitalia (including open urethral procedures); radical orchiectomy, inguinal
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | QK | $203.50 | $203.50 | $203.50 |
Providence
| Facility | QX | $203.50 | $203.50 | $203.50 |