| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Wellmark
| Professional | QZ | $519.29 | $519.29 | $519.29 |
Anesthesia Arteries Lower Leg W/Bypass Graft Nos
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Wellmark
| Professional | QZ | $519.29 | $519.29 | $519.29 |