| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $851.14 | $851.14 | $933.25 |
Aetna
| Facility | QX | $2,041.74 | $2,041.74 | $2,041.74 |
Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $851.14 | $851.14 | $933.25 |
Aetna
| Facility | QX | $2,041.74 | $2,041.74 | $2,041.74 |