| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Wellmark
| Professional | QZ | $403.90 | $403.90 | $403.90 |
Anesthesia for procedures on arteries of upper arm and elbow; not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Wellmark
| Professional | QZ | $403.90 | $403.90 | $403.90 |