| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $676.08 | $676.08 | $676.08 |
Aetna
| Facility | QX | $549.54 | $549.54 | $549.54 |
Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $676.08 | $676.08 | $676.08 |
Aetna
| Facility | QX | $549.54 | $549.54 | $549.54 |