| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $676.08 | $676.08 | $676.08 |
Aetna
| Facility | QZ | $3,162.28 | $3,162.28 | $3,981.07 |
Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $676.08 | $676.08 | $676.08 |
Aetna
| Facility | QZ | $3,162.28 | $3,162.28 | $3,981.07 |