| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $2,028.02 | $2,028.02 | $2,028.02 |
Martin's Point
| Facility | QX | $2,028.02 | $2,028.02 | $2,028.02 |
Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; repair of ruptured Achilles tendon, with or without graft
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $2,028.02 | $2,028.02 | $2,028.02 |
Martin's Point
| Facility | QX | $2,028.02 | $2,028.02 | $2,028.02 |