| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $741.23 | $741.23 | $1,062.43 |
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 | $741.23 | $741.23 | $1,062.43 |
Aetna
| Facility | QX | $610.42 | $610.42 | $874.94 |