| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | QZ | $753.92 | $753.92 | $753.92 |
Ambetter
| Professional | QZ | $140.41 | $140.41 | $140.41 |
Anes Nerve Musc Tendon Fascia & Bursae Upper Leg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | QZ | $753.92 | $753.92 | $753.92 |
Ambetter
| Professional | QZ | $140.41 | $140.41 | $140.41 |