| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.50 | $721.12 | $3,415.17 | |
Aetna
| Facility | QZ | $1,688.12 | $1,688.12 | $1,688.12 |
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 | $32.50 | $721.12 | $3,415.17 | |
Aetna
| Facility | QZ | $1,688.12 | $1,688.12 | $1,688.12 |