| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $446.68 | $741.31 | $851.14 |
Aetna
| Facility | QZ | $3,801.89 | $3,801.89 | $3,801.89 |
Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; gastric restrictive procedure for morbid obesity
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $446.68 | $741.31 | $851.14 |
Aetna
| Facility | QZ | $3,801.89 | $3,801.89 | $3,801.89 |