| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $495.04 | $495.04 | $688.36 |
Aetna
| Facility | QZ | $971.55 | $971.55 | $971.55 |
Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $495.04 | $495.04 | $688.36 |
Aetna
| Facility | QZ | $971.55 | $971.55 | $971.55 |