| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QZ | $2,772.23 | $2,772.23 | $2,772.23 |
Health Alliance Plan
| Facility | QZ | $2,772.23 | $2,772.23 | $2,772.23 |
Anes Arthrs/Endscpy Dstl Radius Ulna/Wrist/Hand
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QZ | $2,772.23 | $2,772.23 | $2,772.23 |
Health Alliance Plan
| Facility | QZ | $2,772.23 | $2,772.23 | $2,772.23 |