| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QZ | $933.25 | $1,047.13 | $1,445.44 |
Moda Health
| Facility | QZ | $933.25 | $1,047.13 | $1,445.44 |
Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QZ | $933.25 | $1,047.13 | $1,445.44 |
Moda Health
| Facility | QZ | $933.25 | $1,047.13 | $1,445.44 |