| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | QK | $366.30 | $366.30 | $366.30 |
Providence
| Facility | QX | $366.30 | $366.30 | $366.30 |
Providence
| Facility | QY | $366.30 | $366.30 | $366.30 |
Anesthesia for procedures on arteries of lower leg, including bypass graft; not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | QK | $366.30 | $366.30 | $366.30 |
Providence
| Facility | QX | $366.30 | $366.30 | $366.30 |
Providence
| Facility | QY | $366.30 | $366.30 | $366.30 |