| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Wellmark
| Professional | QZ | $923.20 | $923.20 | $923.20 |
Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; without pump oxygenator
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Wellmark
| Professional | QZ | $923.20 | $923.20 | $923.20 |