| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $685.95 | $685.95 | $685.95 |
Aetna
| Facility | QZ | $1,324.92 | $1,324.92 | $1,324.92 |
Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; tenodesis, rupture of long tendon of biceps
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $685.95 | $685.95 | $685.95 |
Aetna
| Facility | QZ | $1,324.92 | $1,324.92 | $1,324.92 |
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