| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $728.28 | $728.28 | $750.30 |
Aetna
| Facility | QZ | $640.20 | $640.20 | $640.20 |
Anesth Diagnostic Arthroscopic Proc Knee Joint
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $728.28 | $728.28 | $750.30 |
Aetna
| Facility | QZ | $640.20 | $640.20 | $640.20 |
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