| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $1,256.59 | $1,256.59 | $1,256.59 |
Anes Closed Proc Upper End Tibia Fibula/Patella
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $1,256.59 | $1,256.59 | $1,256.59 |