| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $724.44 | $724.44 | $851.14 |
Aetna
| Facility | QX | $912.01 | $912.01 | $1,412.54 |
Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); colpotomy, vaginectomy, colporrhaphy, and open urethral procedures
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $724.44 | $724.44 | $851.14 |
Aetna
| Facility | QX | $912.01 | $912.01 | $1,412.54 |