| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $716.17 | $716.17 | $716.17 |
Martin's Point
| Facility | QX | $716.17 | $716.17 | $716.17 |
Anesthesia for percutaneous image-guided destruction procedures by neurolytic agent on the spine or spinal cord; cervical or thoracic
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $716.17 | $716.17 | $716.17 |
Martin's Point
| Facility | QX | $716.17 | $716.17 | $716.17 |