| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | QK | $37.00 | $37.00 | $39.50 |
Lucent Health
| Facility | QX | $37.00 | $37.00 | $39.50 |
Anes Rad Orchiectomy Ingun Incl Open Urtl Px
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Lucent Health
| Facility | QK | $37.00 | $37.00 | $39.50 |
Lucent Health
| Facility | QX | $37.00 | $37.00 | $39.50 |