| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QZ | $3,548.13 | $3,548.13 | $3,548.13 |
Moda Health
| Facility | QZ | $3,548.13 | $3,548.13 | $3,548.13 |
Anesthesia for all open procedures on upper ends of tibia, fibula, and/or patella
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QZ | $3,548.13 | $3,548.13 | $3,548.13 |
Moda Health
| Facility | QZ | $3,548.13 | $3,548.13 | $3,548.13 |