| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $389.49 | $389.49 | $4,180.99 |
Aetna
| Facility | QZ | $838.37 | $838.37 | $838.37 |
Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; tubal ligation/transection
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $389.49 | $389.49 | $4,180.99 |
Aetna
| Facility | QZ | $838.37 | $838.37 | $838.37 |
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