| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $742.56 | $856.95 | $928.20 |
Aetna
| Facility | QX | $792.96 | $863.05 | $1,295.22 |
Aetna
| Facility | QZ | $2,255.80 | $2,255.80 | $2,255.80 |
Anesth Open/Surg Arthrs Total Knee Arthroplasty
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $742.56 | $856.95 | $928.20 |
Aetna
| Facility | QX | $792.96 | $863.05 | $1,295.22 |
Aetna
| Facility | QZ | $2,255.80 | $2,255.80 | $2,255.80 |
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