| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $635.35 | $739.73 | $994.84 |
Aetna
| Facility | QZ | $1,269.90 | $1,269.90 | $1,672.80 |
Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $635.35 | $739.73 | $994.84 |
Aetna
| Facility | QZ | $1,269.90 | $1,269.90 | $1,672.80 |