| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QZ | $1,015.23 | $1,015.23 | $1,015.23 |
Highmark BCBS
| Professional | AA | $660.00 | $832.50 | $4,696.93 |
Highmark BCBS
| Professional | QZ | $577.50 | $862.50 | $1,027.50 |
Anes Nerve Musc Tendon Fascia&Bursa Knee&/Poplt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QZ | $1,015.23 | $1,015.23 | $1,015.23 |
Highmark BCBS
| Professional | AA | $660.00 | $832.50 | $4,696.93 |
Highmark BCBS
| Professional | QZ | $577.50 | $862.50 | $1,027.50 |