| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | QK | $122.89 | $122.89 | $164.50 |
Kaiser Permanente
| Professional | QX | $122.89 | $122.89 | $164.50 |
Anes Orchiopexy Uni/Bi Incl Open Urethral Px
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | QK | $122.89 | $122.89 | $164.50 |
Kaiser Permanente
| Professional | QX | $122.89 | $122.89 | $164.50 |