| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | QK | $447.70 | $447.70 | $447.70 |
Providence
| Facility | QX | $447.70 | $447.70 | $447.70 |
Providence
| Facility | QY | $447.70 | $447.70 | $447.70 |
Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; total shoulder replacement
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | QK | $447.70 | $447.70 | $447.70 |
Providence
| Facility | QX | $447.70 | $447.70 | $447.70 |
Providence
| Facility | QY | $447.70 | $447.70 | $447.70 |