| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | AA | $561.00 | $561.00 | $561.00 |
Ambetter
| Professional | QZ | $268.26 | $268.26 | $1,020.00 |
Anes Extraperitoneal Lwr Abd W/Urinary Tract Nos
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | AA | $561.00 | $561.00 | $561.00 |
Ambetter
| Professional | QZ | $268.26 | $268.26 | $1,020.00 |