| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $252.58 | $252.58 | $252.58 |
Martin's Point
| Facility | QX | $252.58 | $252.58 | $252.58 |
Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; tubal ligation/transection
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $252.58 | $252.58 | $252.58 |
Martin's Point
| Facility | QX | $252.58 | $252.58 | $252.58 |