| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | AA | $6,055.40 | $6,055.40 | $6,055.40 |
Aetna
| Facility | QX | $837.33 | $987.00 | $987.00 |
Aetna
| Facility | QZ | $425.00 | $425.00 | $425.00 |
Anes Open/Surg Arthroscopic Elbow Proc Nos
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | AA | $6,055.40 | $6,055.40 | $6,055.40 |
Aetna
| Facility | QX | $837.33 | $987.00 | $987.00 |
Aetna
| Facility | QZ | $425.00 | $425.00 | $425.00 |
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