| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $739.20 | $739.20 | $739.20 |
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 | QX | $739.20 | $739.20 | $739.20 |