| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $39.81 | $724.44 | |
Aetna
| Facility | QZ | $912.01 | $912.01 | $912.01 |
Medica
| Facility | $42.66 | $50.12 | $3,090.30 |
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 | $39.81 | $724.44 | |
Aetna
| Facility | QZ | $912.01 | $912.01 | $912.01 |
Medica
| Facility | $42.66 | $50.12 | $3,090.30 |