| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $699.86 | $699.86 | $699.86 |
Aetna
| Facility | QX | $576.35 | $733.04 | $976.85 |
Aetna
| Facility | QZ | $3,763.80 | $3,763.80 | $3,763.80 |
Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; gastric restrictive procedure for morbid obesity
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $699.86 | $699.86 | $699.86 |
Aetna
| Facility | QX | $576.35 | $733.04 | $976.85 |
Aetna
| Facility | QZ | $3,763.80 | $3,763.80 | $3,763.80 |
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