| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $861.05 | $861.05 | $861.05 |
Martin's Point
| Facility | QX | $861.05 | $861.05 | $861.05 |
Anesthesia for therapeutic interventional radiological procedures involving the arterial system; intracranial, intracardiac, or aortic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $861.05 | $861.05 | $861.05 |
Martin's Point
| Facility | QX | $861.05 | $861.05 | $861.05 |