| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | QZ | $478.63 | $645.65 | $724.44 |
Moda Health
| Professional | QZ | $478.63 | $645.65 | $724.44 |
Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | QZ | $478.63 | $645.65 | $724.44 |
Moda Health
| Professional | QZ | $478.63 | $645.65 | $724.44 |