| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | QZ | $195.10 | $195.10 | $649.00 |
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 |
|---|---|---|---|---|---|
Ambetter
| Professional | QZ | $195.10 | $195.10 | $649.00 |