| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $510.62 | $510.62 | $510.62 |
Martin's Point
| Facility | QX | $510.62 | $510.62 | $510.62 |
Anesthesia Closed Procedures Humerus & Elbow
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $510.62 | $510.62 | $510.62 |
Martin's Point
| Facility | QX | $510.62 | $510.62 | $510.62 |