| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | QK | $39.81 | $39.81 | $39.81 |
Medica
| Facility | QX | $39.81 | $39.81 | $39.81 |
Anesthesia for procedures on arteries of knee and popliteal area; popliteal excision and graft or repair for occlusion or aneurysm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | QK | $39.81 | $39.81 | $39.81 |
Medica
| Facility | QX | $39.81 | $39.81 | $39.81 |