| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $1,665.99 | $1,665.99 | $1,665.99 |
Anes Radical Resecj Incl 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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