| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | QZ | $872.20 | $872.20 | $872.20 |
Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of upper leg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | QZ | $872.20 | $872.20 | $872.20 |