| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $1,663.47 | $1,663.47 | $1,663.47 |
Martin's Point
| Facility | QX | $1,663.47 | $1,663.47 | $1,663.47 |
Anesthesia for diagnostic arthroscopic procedures of knee joint
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $1,663.47 | $1,663.47 | $1,663.47 |
Martin's Point
| Facility | QX | $1,663.47 | $1,663.47 | $1,663.47 |