| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $1,900.60 | $1,900.60 | $1,900.60 |
Aetna
| Facility | QX | $3,130.40 | $3,130.40 | $3,130.40 |
Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; partial hepatectomy or management of liver hemorrhage (excluding liver biopsy)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $1,900.60 | $1,900.60 | $1,900.60 |
Aetna
| Facility | QX | $3,130.40 | $3,130.40 | $3,130.40 |
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