| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $446.68 | $446.68 | $446.68 |
Martin's Point
| Facility | QX | $446.68 | $446.68 | $446.68 |
Anesthesia for diagnostic arthroscopic procedures of knee joint
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $446.68 | $446.68 | $446.68 |
Martin's Point
| Facility | QX | $446.68 | $446.68 | $446.68 |