| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | QK | $30.90 | $30.90 | $30.90 |
Providence
| Facility | QX | $30.90 | $30.90 | $30.90 |
Anesthesia for procedures on arteries of lower leg, including bypass graft; embolectomy, direct or with catheter
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | QK | $30.90 | $30.90 | $30.90 |
Providence
| Facility | QX | $30.90 | $30.90 | $30.90 |