| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $828.84 | $828.84 | $828.84 |
Aetna
| Professional | AA | $544.71 | $544.71 | $544.71 |
Martin's Point
| Facility | QX | $828.84 | $828.84 | $828.84 |
Anesthesia Vascular Shunt/Shunt Revision
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $828.84 | $828.84 | $828.84 |
Aetna
| Professional | AA | $544.71 | $544.71 | $544.71 |
Martin's Point
| Facility | QX | $828.84 | $828.84 | $828.84 |