| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $1,665.99 | $1,665.99 | $1,665.99 |
Anesthesia for open procedures on bones of lower leg, ankle, and foot; radical resection (including below knee amputation)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $1,665.99 | $1,665.99 | $1,665.99 |
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