| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $406.64 | $406.64 | $406.64 |
Aetna
| Facility | QX | $334.88 | $334.88 | $334.88 |
Anes Orchiopexy Uni/Bi Incl Open Urethral Px
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $406.64 | $406.64 | $406.64 |
Aetna
| Facility | QX | $334.88 | $334.88 | $334.88 |
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