| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $720.00 | $720.00 | $725.52 | |
Aetna
| Facility | QZ | $1,520.68 | $1,520.68 | $2,408.94 |
Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $720.00 | $720.00 | $725.52 | |
Aetna
| Facility | QZ | $1,520.68 | $1,520.68 | $2,408.94 |