| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $933.25 | $933.25 | $933.25 |
Aetna
| Professional | QX | $302.00 | $416.87 | $660.69 |
Aetna
| Professional | QY | $416.87 | $416.87 | $416.87 |
Anesthesia for percutaneous image-guided destruction procedures by neurolytic agent on the spine or spinal cord; lumbar or sacral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $933.25 | $933.25 | $933.25 |
Aetna
| Professional | QX | $302.00 | $416.87 | $660.69 |
Aetna
| Professional | QY | $416.87 | $416.87 | $416.87 |