| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $1,174.90 | $2,754.23 | |
Aetna
| Facility | QK | $691.83 | $691.83 | $691.83 |
Aetna
| Facility | QX | $562.34 | $562.34 | $602.56 |
Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $1,174.90 | $2,754.23 | |
Aetna
| Facility | QK | $691.83 | $691.83 | $691.83 |
Aetna
| Facility | QX | $562.34 | $562.34 | $602.56 |