| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | QZ | $581.25 | $632.40 | $632.40 |
Ambetter
| Professional | QZ | $193.90 | $252.07 | $486.62 |
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 | $581.25 | $632.40 | $632.40 |
Ambetter
| Professional | QZ | $193.90 | $252.07 | $486.62 |