| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $812.83 | $812.83 | $812.83 |
Aetna
| Facility | QX | $933.25 | $933.25 | $933.25 |
Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wrist, or hand joints; not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $812.83 | $812.83 | $812.83 |
Aetna
| Facility | QX | $933.25 | $933.25 | $933.25 |