| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | QK | $147.47 | $147.47 | $197.40 |
Kaiser Permanente
| Professional | QX | $147.47 | $147.47 | $197.40 |
Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; tenodesis, rupture of long tendon of biceps
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | QK | $147.47 | $147.47 | $197.40 |
Kaiser Permanente
| Professional | QX | $147.47 | $147.47 | $197.40 |