| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $818.81 | $818.81 | $818.81 |
Aetna
| Facility | QX | $938.00 | $938.00 | $938.00 |
Anes Arthrs/Endscpy Dstl Radius Ulna/Wrist/Hand
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $818.81 | $818.81 | $818.81 |
Aetna
| Facility | QX | $938.00 | $938.00 | $938.00 |