| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.50 | $448.00 | $448.00 | |
Aetna
| Facility | QZ | $918.24 | $918.24 | $918.24 |
Medica
| Facility | $42.84 | $82.00 | $3,120.00 |
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 | $46.50 | $448.00 | $448.00 | |
Aetna
| Facility | QZ | $918.24 | $918.24 | $918.24 |
Medica
| Facility | $42.84 | $82.00 | $3,120.00 |