| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | QK | $325.60 | $325.60 | $325.60 |
Providence
| Facility | QX | $325.60 | $325.60 | $325.60 |
Providence
| Facility | QY | $325.60 | $325.60 | $325.60 |
Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; renal procedures, including upper one-third of ureter, or donor nephrectomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | QK | $325.60 | $325.60 | $325.60 |
Providence
| Facility | QX | $325.60 | $325.60 | $325.60 |
Providence
| Facility | QY | $325.60 | $325.60 | $325.60 |