| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $1,166.80 | $1,166.80 | $1,166.80 |
Aetna
| Facility | QX | $773.68 | $773.68 | $960.96 |
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 |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $1,166.80 | $1,166.80 | $1,166.80 |
Aetna
| Facility | QX | $773.68 | $773.68 | $960.96 |