| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $1,580.15 | $1,580.15 | $1,580.15 |
Anes Radical Resecj Incl Below Knee Amputation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $1,580.15 | $1,580.15 | $1,580.15 |